{
  "reporting_entity_name": "Ohio Health Choice",
  "reporting_entity_type": "PPO Network",
  "in_network": [
    {
      "negotiation_arrangement": "ffs",
      "name": "00103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00103",
      "description": "Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092674
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00103",
      "description": "Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092291
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00104",
      "description": "Anesthesia for electroconvulsive therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00120",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifi",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00120",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifi",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00120",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifi",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00120",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifi",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00120",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specifi",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00126",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00126",
      "description": "Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00140",
      "description": "Anesthesia for procedures on eye; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00140",
      "description": "Anesthesia for procedures on eye; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092638
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00140",
      "description": "Anesthesia for procedures on eye; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00140",
      "description": "Anesthesia for procedures on eye; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092674
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00140",
      "description": "Anesthesia for procedures on eye; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 240,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092674,
            1092769
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092622,
            1092829,
            1092856
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 280,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092291
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00142",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00142",
      "description": "Anesthesia for procedures on eye; lens surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00144",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00144",
      "description": "Anesthesia for procedures on eye; corneal transplant",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 348,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092638
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00145",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00145",
      "description": "Anesthesia for procedures on eye; vitreoretinal surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092291
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00145",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00145",
      "description": "Anesthesia for procedures on eye; vitreoretinal surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00145",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00145",
      "description": "Anesthesia for procedures on eye; vitreoretinal surgery",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00147",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00147",
      "description": "Anesthesia for procedures on eye; iridectomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 456.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387,
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00160",
      "description": "Anesthesia for procedures on nose and accessory sinuses; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 305,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092379
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00170",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00170",
      "description": "Anesthesia for intraoral procedures, including biopsy; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00190",
      "description": "Anesthesia for procedures on facial bones or skull; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 250,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00190",
      "description": "Anesthesia for procedures on facial bones or skull; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00190",
      "description": "Anesthesia for procedures on facial bones or skull; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00210",
      "description": "Anesthesia for intracranial procedures; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 302.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 302.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00210",
      "description": "Anesthesia for intracranial procedures; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 302.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 302.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 275,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00300",
      "description": "Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and pos",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 330,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00320",
      "description": "Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; n",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00350",
      "description": "Anesthesia for procedures on major vessels of neck; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00350",
      "description": "Anesthesia for procedures on major vessels of neck; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 201,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 204,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092829
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 82.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 82.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 82.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 82.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00400",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00402",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00402",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00402",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00410",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00410",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00410",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00410",
      "description": "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineu",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0042T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0042T",
      "description": "CT PERFUSION W/CONTRAST CBF",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0042T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0042T",
      "description": "CT PERFUSION W/CONTRAST CBF",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 137.864,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092453
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0042T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0042T",
      "description": "CT PERFUSION W/CONTRAST CBF",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00450",
      "description": "Anesthesia for procedures on clavicle and scapula; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00450",
      "description": "Anesthesia for procedures on clavicle and scapula; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00450",
      "description": "Anesthesia for procedures on clavicle and scapula; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00450",
      "description": "Anesthesia for procedures on clavicle and scapula; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00472",
      "description": "Anesthesia for partial rib resection; thoracoplasty (any type)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 780,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 477.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00520",
      "description": "Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00530",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00530",
      "description": "Anesthesia for permanent transvenous pacemaker insertion",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00530",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00530",
      "description": "Anesthesia for permanent transvenous pacemaker insertion",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00532",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00532",
      "description": "Anesthesia for access to central venous circulation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00534",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00534",
      "description": "Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 500,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 650,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 760.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 780,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00537",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00537",
      "description": "Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 898.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00541",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00541",
      "description": "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1080,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00541",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00541",
      "description": "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0055T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0055T",
      "description": "BONE SRGRY CMPTR CT/MRI IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 80,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0055T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0055T",
      "description": "BONE SRGRY CMPTR CT/MRI IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00560",
      "description": "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygen",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1080,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00562",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00562",
      "description": "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenato",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00562",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00562",
      "description": "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenato",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1440,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00562",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00562",
      "description": "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenato",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00562",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00562",
      "description": "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenato",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00567",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00567",
      "description": "Anesthesia for direct coronary artery bypass grafting; with pump oxygenator",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00567",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00567",
      "description": "Anesthesia for direct coronary artery bypass grafting; with pump oxygenator",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1404,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00567",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00567",
      "description": "Anesthesia for direct coronary artery bypass grafting; with pump oxygenator",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1617.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00600",
      "description": "Anesthesia for procedures on cervical spine and cord; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 650,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00600",
      "description": "Anesthesia for procedures on cervical spine and cord; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00620",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00620",
      "description": "Anesthesia for procedures on thoracic spine and cord, not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 750,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 560,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 600,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 672,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00630",
      "description": "Anesthesia for procedures in lumbar region; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 718.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 292.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 292.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 292.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 292.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 357.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 357.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 357.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 357.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 422.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 422.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 422.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 422.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 481,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 481,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 481,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 481,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 487.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 487.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 487.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 487.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 517.205,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 517.205,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 517.205,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 517.205,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 845,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 936,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 975,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00670",
      "description": "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 989.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00700",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00700",
      "description": "Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 198.925,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 210,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 210,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 210,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 210,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 250,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092380,
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589,
            1092745,
            1092787
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 305,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092379
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 340,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092790
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387,
            1092435,
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 397.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00731",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00731",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520,
            1092822
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00732",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00732",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00732",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00732",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00732",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00732",
      "description": "Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duoden",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00750",
      "description": "ANES HRNA RPR UPR ABD NOS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00752",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00752",
      "description": "Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00754",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00754",
      "description": "Anesthesia for hernia repairs in upper abdomen; omphalocele",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00770",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00770",
      "description": "Anesthesia for all procedures on major abdominal blood vessels",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1347.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 161,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 161,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092261
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 161,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 161,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092261
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 199.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 199.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 199.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 199.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 315,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 385,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092231
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 434,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 455,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 546,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 556.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 588,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00790",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00790",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 629.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00794",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00794",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, pa",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00794",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00794",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, pa",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00797",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00797",
      "description": "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictiv",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 792,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00800",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00800",
      "description": "Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00802",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00802",
      "description": "Anesthesia for procedures on lower anterior abdominal wall; panniculectomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092431,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092431,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092227,
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092380,
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 240,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092745,
            1092787
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257,
            1092671,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092790
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 280,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263,
            1092847
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 318.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520,
            1092822
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092332,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00811",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00811",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092332,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092261
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092430,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 220,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092333,
            1092831
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092380,
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 240,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589,
            1092651,
            1092745,
            1092787
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579,
            1092790,
            1092829,
            1092843,
            1092856
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 304.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 318.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440,
            1092520,
            1092822
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092332,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092332,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092332,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092261
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00812",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00812",
      "description": "Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; scre",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092261
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 240,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092651,
            1092787
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 280,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435,
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520,
            1092822
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092227,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00813",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00813",
      "description": "ANES UPR LWR GI NDSC PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092227,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00830",
      "description": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00830",
      "description": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00830",
      "description": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00830",
      "description": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00830",
      "description": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00830",
      "description": "Anesthesia for hernia repairs in lower abdomen; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00832",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00832",
      "description": "Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00832",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00832",
      "description": "Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00832",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00832",
      "description": "Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00832",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00832",
      "description": "Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 201,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 201,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 201,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 201,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 228,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 228,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 228,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 228,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 270,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 348,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 372,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 456,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263,
            1092847
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00840",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440,
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00851",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/tra",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00851",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/tra",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00851",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/tra",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 270,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00851",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/tra",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00851",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/tra",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00851",
      "description": "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/tra",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00860",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise s",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00860",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise s",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00860",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise s",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00860",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise s",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00860",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise s",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00860",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise s",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00862",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00862",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 314.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 314.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00862",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00862",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 314.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 314.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00865",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00865",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 259,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 259,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00865",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00865",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 259,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 259,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00870",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00870",
      "description": "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00872",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00872",
      "description": "ANESTH KIDNEY STONE DESTRUCT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00873",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00873",
      "description": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00873",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00873",
      "description": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 340,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092873
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00873",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00873",
      "description": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00873",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00873",
      "description": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00873",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00873",
      "description": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00873",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00873",
      "description": "Anesthesia for lithotripsy, extracorporeal shock wave; without water bath",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00880",
      "description": "Anesthesia for procedures on major lower abdominal vessels; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 350,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00902",
      "description": "Anesthesia for; anorectal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00904",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00904",
      "description": "Anesthesia for; radical perineal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00904",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00904",
      "description": "Anesthesia for; radical perineal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00904",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00904",
      "description": "Anesthesia for; radical perineal procedure",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00906",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00906",
      "description": "Anesthesia for; vulvectomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00906",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00906",
      "description": "Anesthesia for; vulvectomy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 204,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092873
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440,
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00910",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00910",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00912",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00912",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bl",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00912",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00912",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bl",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00912",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00912",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bl",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 340,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092873
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00912",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00912",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bl",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00914",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00914",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of pr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 190,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 340,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092873
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00918",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00918",
      "description": "Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulat",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440,
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00920",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00920",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise spec",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00921",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00921",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00926",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00926",
      "description": "Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectom",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 204,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092845
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00940",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not ot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00942",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00942",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00942",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00942",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00942",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00942",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00944",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00944",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vagina",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00944",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00944",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vagina",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 159.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 159.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 159.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 159.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092843
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 304.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "00952",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "00952",
      "description": "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hyster",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0101T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0101T",
      "description": "ESW MUSCSKEL SYS NOS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01120",
      "description": "Anesthesia for procedures on bony pelvis",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01120",
      "description": "Anesthesia for procedures on bony pelvis",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01160",
      "description": "Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01160",
      "description": "Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01200",
      "description": "Anesthesia for all closed procedures involving hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01200",
      "description": "Anesthesia for all closed procedures involving hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01202",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01202",
      "description": "Anesthesia for arthroscopic procedures of hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01210",
      "description": "Anesthesia for open procedures involving hip joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01210",
      "description": "Anesthesia for open procedures involving hip joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01210",
      "description": "Anesthesia for open procedures involving hip joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01210",
      "description": "Anesthesia for open procedures involving hip joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01210",
      "description": "Anesthesia for open procedures involving hip joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 400,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 520,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 600,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01214",
      "description": "Anesthesia for open procedures involving hip joint; total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 718.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01215",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01215",
      "description": "Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01215",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01215",
      "description": "Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01220",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01220",
      "description": "Anesthesia for all closed procedures involving upper two-thirds of femur",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01220",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01220",
      "description": "Anesthesia for all closed procedures involving upper two-thirds of femur",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01230",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01230",
      "description": "Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01230",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01230",
      "description": "Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01250",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01250",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01250",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01250",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01250",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 90,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included.; Claims over $69500.00 reimburse at 79% of billed charges."
            }
          ],
          "provider_references": [
            1092341
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01260",
      "description": "Anesthesia for all procedures involving veins of upper leg, including exploration",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01270",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01270",
      "description": "Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise spe",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01274",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01274",
      "description": "Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery em",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 539.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 110,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01320",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or poplite",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01360",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01360",
      "description": "Anesthesia for all open procedures on lower one-third of femur",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01360",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01360",
      "description": "Anesthesia for all open procedures on lower one-third of femur",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01380",
      "description": "Anesthesia for all closed procedures on knee joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01380",
      "description": "Anesthesia for all closed procedures on knee joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01380",
      "description": "Anesthesia for all closed procedures on knee joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01392",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01392",
      "description": "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01392",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01392",
      "description": "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01392",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01392",
      "description": "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01392",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01392",
      "description": "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 134,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 200,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 240,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092829
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092387,
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 318.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01400",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 157.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 262.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 406,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 455,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 546,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 588,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01402",
      "description": "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 629.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01462",
      "description": "Anesthesia for all closed procedures on lower leg, ankle, and foot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01462",
      "description": "Anesthesia for all closed procedures on lower leg, ankle, and foot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01464",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01464",
      "description": "Anesthesia for arthroscopic procedures of ankle and/or foot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01464",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01464",
      "description": "Anesthesia for arthroscopic procedures of ankle and/or foot",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 228.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01470",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01472",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; rep",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01472",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; rep",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01474",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01474",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01474",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01474",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01474",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01474",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01474",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01474",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01474",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01474",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092526
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 67.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 85.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 85.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 85.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AD"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 85.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01480",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01480",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01482",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01482",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01482",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01482",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01482",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01482",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092847
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01482",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01482",
      "description": "Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01610",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01610",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01610",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01610",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 340,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092829
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01610",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01620",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01620",
      "description": "Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavic",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01620",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01620",
      "description": "Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavic",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 170,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 187.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01630",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01638",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01638",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01638",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01638",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01638",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01638",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 600,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01638",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01638",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 740,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01638",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01638",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 750,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01638",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01638",
      "description": "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular j",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 780,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 119.355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01710",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01710",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; no",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01712",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01712",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; te",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01712",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01712",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; te",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01714",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01714",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; te",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01714",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01714",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; te",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01714",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01714",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; te",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01714",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01714",
      "description": "Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; te",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01730",
      "description": "Anesthesia for all closed procedures on humerus and elbow",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01730",
      "description": "Anesthesia for all closed procedures on humerus and elbow",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01740",
      "description": "Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01740",
      "description": "Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01740",
      "description": "Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01740",
      "description": "Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 150,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01740",
      "description": "Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562,
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 204,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092829
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263,
            1092847
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440,
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01810",
      "description": "Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01820",
      "description": "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01820",
      "description": "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01820",
      "description": "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01820",
      "description": "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01820",
      "description": "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01820",
      "description": "Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 112.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 180,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092589
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263,
            1092847
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 269.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01830",
      "description": "Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wr",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01840",
      "description": "Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01840",
      "description": "Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01850",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01850",
      "description": "ANESTH LOWER ARM VEIN SURG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01850",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01850",
      "description": "ANESTH LOWER ARM VEIN SURG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01922",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01922",
      "description": "Anesthesia for non-invasive imaging or radiation therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01922",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01922",
      "description": "Anesthesia for non-invasive imaging or radiation therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01922",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01922",
      "description": "Anesthesia for non-invasive imaging or radiation therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 259,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01922",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01922",
      "description": "Anesthesia for non-invasive imaging or radiation therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 278.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 278.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01922",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01922",
      "description": "Anesthesia for non-invasive imaging or radiation therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 278.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 278.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01922",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01922",
      "description": "Anesthesia for non-invasive imaging or radiation therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 385,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01924",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01924",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; not",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01925",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01925",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; car",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 220,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 220,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01925",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01925",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; car",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 220,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 220,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01926",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01926",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; int",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 720,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01926",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01926",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; int",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 760.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01926",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01926",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the arterial system; int",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 780,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01930",
      "description": "Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic sys",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 380.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092691
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01940",
      "description": "Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01940",
      "description": "Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 100,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01940",
      "description": "Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01940",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01940",
      "description": "Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01941",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01941",
      "description": "Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01941",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01941",
      "description": "Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01942",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01942",
      "description": "Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplas",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01960",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01960",
      "description": "Anesthesia for; vaginal delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092674
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "ANES CESAREAN DELIVERY ONLY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1700.00,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 227.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 385,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 406,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 434,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 455,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671,
            1092802
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 490,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 546,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 588,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01961",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01961",
      "description": "Anesthesia for cesarean delivery only",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 629.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092440,
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 130,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 260,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092257
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 300,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 318.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01965",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01965",
      "description": "Anesthesia for incomplete or missed abortion procedures",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 137.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 167.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092283
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 250,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239,
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 290,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092411
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 310,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242,
            1092671,
            1092802
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 360,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435,
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 370,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092830
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092425,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 390,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 397.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarach",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 449.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "NEURAXL LBR ANES VAG DLVR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1700.00,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01967",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01967",
      "description": "NEURAXL LBR ANES VAG DLVR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1760.00,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "ANES/ANALG CS DLVR NEURAXIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 450.00,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092435
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092263
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 238.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092874
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092239
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01968",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01968",
      "description": "cesarean delivery following neuraxial labor analgesia/anesthesia (list separately in addition to cod",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 97.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01991",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01991",
      "description": "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is per",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01992",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01992",
      "description": "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is per",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01992",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01992",
      "description": "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is per",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01992",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01992",
      "description": "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is per",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QK"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QX"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            },
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 162.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "QY"
              ],
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01992",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01992",
      "description": "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is per",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092242
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01992",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01992",
      "description": "Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is per",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 420,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Rate for Base Units only. Time units not included."
            }
          ],
          "provider_references": [
            1092467
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "01996",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "01996",
      "description": "HOSP MANAGE CONT DRUG ADMIN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092825
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0202U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0202U",
      "description": "NFCT DS 22 TRGT SARS-COV-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 460.542,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0211T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0211T",
      "description": "SPEECH AUDIOM THRESH \u0026 RECOG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0240U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0240U",
      "description": "NFCT DS VIR RESP RNA 3 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.421,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0240U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0240U",
      "description": "NFCT DS VIR RESP RNA 3 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.419,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0240U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0240U",
      "description": "NFCT DS VIR RESP RNA 3 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0241U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0241U",
      "description": "NFCT DS VIR RESP RNA 4 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.419,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0241U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0241U",
      "description": "NFCT DS VIR RESP RNA 4 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 206.813,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0241U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0241U",
      "description": "NFCT DS VIR RESP RNA 4 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0241U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0241U",
      "description": "NFCT DS VIR RESP RNA 4 TRGT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 256.734,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0345U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0345U",
      "description": "PSYC GENOM ALYS PNL 15 GEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1603.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092618
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0358T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0358T",
      "description": "BIA WHOLE BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092804
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0441T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0441T",
      "description": "ABLTJ PERC LXTR/PERPH NRV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0472U",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0472U",
      "description": "CA VI PSP\u0026SP1 ANTB SJOGREN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092389
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0500F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0500F",
      "description": "INITIAL PRENATAL CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092551,
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0500F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0500F",
      "description": "INITIAL PRENATAL CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0500F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0500F",
      "description": "INITIAL PRENATAL CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092486,
            1092550,
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0500F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0500F",
      "description": "INITIAL PRENATAL CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0500F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0500F",
      "description": "INITIAL PRENATAL CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 80,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0500F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0500F",
      "description": "INITIAL PRENATAL CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0501F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0501F",
      "description": "PRENATAL FLOW SHEET",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0501F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0501F",
      "description": "PRENATAL FLOW SHEET",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0501F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0501F",
      "description": "PRENATAL FLOW SHEET",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0501F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0501F",
      "description": "PRENATAL FLOW SHEET",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092444,
            1092550,
            1092562,
            1092731
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 80,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0502F",
      "description": "SUBSEQUENT PRENATAL CARE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0503F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0503F",
      "description": "POSTPARTUM CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092541,
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0503F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0503F",
      "description": "POSTPARTUM CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092509,
            1092549,
            1092550,
            1092562,
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0503F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0503F",
      "description": "POSTPARTUM CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0503F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0503F",
      "description": "POSTPARTUM CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0503F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0503F",
      "description": "POSTPARTUM CARE VISIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0509F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0509F",
      "description": "URINE INCON PLAN DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0509T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0509T",
      "description": "PATTERN ERG W/I\u0026R",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 108.528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0509T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0509T",
      "description": "PATTERN ERG W/I\u0026R",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "26"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0509T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0509T",
      "description": "PATTERN ERG W/I\u0026R",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.392,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "TC"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0518F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0518F",
      "description": "FALL PLAN OF CARE DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0521F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0521F",
      "description": "PLAN OF CARE 4 PAIN DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0556F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0556F",
      "description": "PLAN CARE LIPID CONTROL DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0707T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0707T",
      "description": "NJX B1 SUB MTRL SBCHDRL DFCT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0751T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0751T",
      "description": "DGTZ GLS MCRSCP SLD LEVEL II",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0752T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0752T",
      "description": "DGTZ GLS MCRSCP SLD LVL III",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0753T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0753T",
      "description": "DGTZ GLS MCRSCP SLD LEVEL IV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092249,
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0754T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0754T",
      "description": "DGTZ GLS MCRSCP SLD LEVEL V",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0756T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0756T",
      "description": "DGTZ GLS MCRSCP SLD SPC GRPI",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0757T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0757T",
      "description": "DGTZ GLS MCRSCP SL SPC GRPII",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0760T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0760T",
      "description": "DGTZ GLS MCRSCP SL IMM 1ST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0761T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0761T",
      "description": "DGTZ GLS MCRSCP SL IMM EA 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0762T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0762T",
      "description": "DGTZ GLS MCRSCP SL IMM EA M",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092675
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "0792T",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "0792T",
      "description": "APPL SLVR DIAMN FLUORIDE 38%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092707
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.365,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.804,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 130.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092331
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 137.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092300
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092595
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.374,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092302
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 214.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 220.338,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 244.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092300
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092331
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.7713,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092595
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10005",
      "description": "FNA BX W/US GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.292,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092302
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10006",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10006",
      "description": "FNA BX W/US GDN EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092300
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10006",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10006",
      "description": "FNA BX W/US GDN EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092300
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1000F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1000F",
      "description": "TOBACCO USE ASSESSED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1000F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1000F",
      "description": "TOBACCO USE ASSESSED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092549,
            1092550,
            1092705,
            1092706,
            1092719
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10021",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10021",
      "description": "FNA BX W/O IMG GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.707,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10021",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10021",
      "description": "FNA BX W/O IMG GDN 1ST LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.097,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10030",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10030",
      "description": "IMG GID FLU COLL DRG SFT TIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 145.636,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10030",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10030",
      "description": "IMG GID FLU COLL DRG SFT TIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 164.632,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10030",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10030",
      "description": "IMG GID FLU COLL DRG SFT TIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 639.377,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10030",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10030",
      "description": "IMG GID FLU COLL DRG SFT TIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 722.774,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10035",
      "description": "PLMT SFT TISS LOCLZJ DEV 1ST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 137.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10035",
      "description": "PLMT SFT TISS LOCLZJ DEV 1ST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 534.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10035",
      "description": "PLMT SFT TISS LOCLZJ DEV 1ST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 551.653,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10035",
      "description": "PLMT SFT TISS LOCLZJ DEV 1ST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.185,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.644,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.13,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.394,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.506,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.8779,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.1229,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.2045,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.327,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.123,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10040",
      "description": "EXTRACTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092804
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669,
            1092704
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.425,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.543,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.637,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 119.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.898,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669,
            1092704
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 129.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.757,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.337,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.275,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092862
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.334,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 155.662,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.193,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 159.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 161.933,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 165.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 169.911,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092862
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.145,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.488,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 190.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.1695,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092806
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092806
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092247
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092247
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10060",
      "description": "I\u0026D ABSCESS SIMPLE/SINGLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.2613,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 168.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 223.704,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 232.308,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 249.516,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 257.413,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 267.314,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 275.328,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 287.114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 316.816,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 326.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10061",
      "description": "I\u0026D ABSCESS COMP/MULTIPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 376.219,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10081",
      "description": "I\u0026D PILONIDAL CYST COMP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 298.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10081",
      "description": "I\u0026D PILONIDAL CYST COMP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 442.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.34,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.071,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.286,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.552,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092786
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.907,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 179.634,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.732,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 211.415,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092786
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 226.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092258
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 231.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 317.814,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092258
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.0645,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.139,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10120",
      "description": "INC\u0026RMVL FB SUBQ TISS SMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10140",
      "description": "I\u0026D HMTMA SEROMA/FLUID COLLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.471,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10140",
      "description": "I\u0026D HMTMA SEROMA/FLUID COLLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10140",
      "description": "I\u0026D HMTMA SEROMA/FLUID COLLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 209.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10140",
      "description": "I\u0026D HMTMA SEROMA/FLUID COLLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 248.592,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10160",
      "description": "PNXR ASPIR ABSC HMTMA BULLA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.741,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10160",
      "description": "PNXR ASPIR ABSC HMTMA BULLA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 155.285,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10160",
      "description": "PNXR ASPIR ABSC HMTMA BULLA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.77,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10160",
      "description": "PNXR ASPIR ABSC HMTMA BULLA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 217.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10160",
      "description": "PNXR ASPIR ABSC HMTMA BULLA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10160",
      "description": "PNXR ASPIR ABSC HMTMA BULLA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10180",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10180",
      "description": "I\u0026D COMPLEX PO WOUND INFCTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 228.123,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10180",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10180",
      "description": "I\u0026D COMPLEX PO WOUND INFCTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 278.817,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10180",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10180",
      "description": "I\u0026D COMPLEX PO WOUND INFCTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 326.376,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "10180",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "10180",
      "description": "I\u0026D COMPLEX PO WOUND INFCTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 398.904,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1030F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1030F",
      "description": "INFLUENZA IMM STATUS ASSESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1034F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1034F",
      "description": "CURRENT TOBACCO SMOKER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1034F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1034F",
      "description": "CURRENT TOBACCO SMOKER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430,
            1092707,
            1092719,
            1092740,
            1092832
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1034F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1034F",
      "description": "CURRENT TOBACCO SMOKER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1034F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1034F",
      "description": "CURRENT TOBACCO SMOKER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1035F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1035F",
      "description": "SMOKELESS TOBACCO USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092634,
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1035F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1035F",
      "description": "SMOKELESS TOBACCO USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1035F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1035F",
      "description": "SMOKELESS TOBACCO USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1036F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1036F",
      "description": "TOBACCO NON-USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092563,
            1092593,
            1092594,
            1092600,
            1092634,
            1092723,
            1092741,
            1092834
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1036F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1036F",
      "description": "TOBACCO NON-USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1036F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1036F",
      "description": "TOBACCO NON-USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092257,
            1092353,
            1092418,
            1092430,
            1092431,
            1092444,
            1092487,
            1092509,
            1092510,
            1092511,
            1092522,
            1092535,
            1092562,
            1092575,
            1092705,
            1092706,
            1092707,
            1092709,
            1092719,
            1092722,
            1092731,
            1092740,
            1092752,
            1092764,
            1092811,
            1092832,
            1092833,
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1036F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1036F",
      "description": "TOBACCO NON-USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092758
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1036F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1036F",
      "description": "TOBACCO NON-USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1036F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1036F",
      "description": "TOBACCO NON-USER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1090F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1090F",
      "description": "PRES/ABSN URINE INCON ASSESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1090F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1090F",
      "description": "PRES/ABSN URINE INCON ASSESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1100F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1100F",
      "description": "PTFALLS ASSESS-DOCD GE2\u003E/YR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11012",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11012",
      "description": "DEB SKIN BONE AT FX SITE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 559.346,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11012",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11012",
      "description": "DEB SKIN BONE AT FX SITE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 627.856,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11012",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11012",
      "description": "DEB SKIN BONE AT FX SITE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 846.865,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11012",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11012",
      "description": "DEB SKIN BONE AT FX SITE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 953.184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11012",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11012",
      "description": "DEB SKIN BONE AT FX SITE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 990.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1101F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1101F",
      "description": "PT FALLS ASSESS-DOCD LE1/YR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1101F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1101F",
      "description": "PT FALLS ASSESS-DOCD LE1/YR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.817,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.193,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.076,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 129.793,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.079,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.698,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.571,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.936,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.809,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.2435,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.7664,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.0402,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.6075,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.932,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.803,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.0175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.5955,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11042",
      "description": "DBRDMT SUBQ TIS 1ST 20SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.1325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.295,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 167.405,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.684,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 209.987,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.043,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 257.784,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 300.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 420.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11043",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11043",
      "description": "DBRDMT MUSC\u0026/FSCA 1ST 20/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 477.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11044",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11044",
      "description": "DBRDMT BONE 1ST 20 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.342,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11044",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11044",
      "description": "DBRDMT BONE 1ST 20 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 418.572,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11044",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11044",
      "description": "DBRDMT BONE 1ST 20 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 577.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11044",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11044",
      "description": "DBRDMT BONE 1ST 20 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 651.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 22.9908,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.048,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.752,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.9524,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.297,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.653,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11045",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11045",
      "description": "DBRDMT SUBQ TISS EACH ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11046",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11046",
      "description": "DBRDMT MUSC\u0026/FSCA EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.2533,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11046",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11046",
      "description": "DBRDMT MUSC\u0026/FSCA EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.1215,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11046",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11046",
      "description": "DBRDMT MUSC\u0026/FSCA EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.3918,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11046",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11046",
      "description": "DBRDMT MUSC\u0026/FSCA EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.108,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 16.2214,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 19.084,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 19.818,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 21.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 37.485,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.626,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.5275,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.913,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11055",
      "description": "PARING/CUTG B9 HYPRKER LES 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.0635,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 25.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 28.4175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 33.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11056",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11056",
      "description": "PARNG/CUTG B9 HYPRKR LES 2-4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11057",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11057",
      "description": "PARNG/CUTG B9 HYPRKR LES \u003E4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11057",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11057",
      "description": "PARNG/CUTG B9 HYPRKR LES \u003E4",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.541,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.764,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092487
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092595
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092558
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.636,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.327,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 132.923,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.976,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.457,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 169.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.3494,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.8428,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092634
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.9805,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 38.8297,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092559
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.3231,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.411,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092487
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092595
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.682,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092558
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.439,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.7904,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.2839,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.2708,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.981,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.8515,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092599
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 80,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.408,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.3494,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.1472,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092634
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11102",
      "description": "TANGNTL BX SKIN SINGLE LES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.7428,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092559
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 20.825,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 23.4715,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 24.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 26.533,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.5535,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.7576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 28.625,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 32.656,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 33.6765,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.1295,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.589,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.318,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.561,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.0096,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.9162,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.019,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11103",
      "description": "TANGNTL BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.364,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.011,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.969,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.976,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.667,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 213.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.0491,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.6642,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.5359,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.646,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.8944,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092599
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.464,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.666,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11104",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11104",
      "description": "PUNCH BX SKIN SINGLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 24.6075,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 32.5448,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.8955,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.4128,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11105",
      "description": "PUNCH BX SKIN EA SEP/ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1111F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1111F",
      "description": "DSCHRG MED/CURRENT MED MERGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092541,
            1092551,
            1092723,
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1111F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1111F",
      "description": "DSCHRG MED/CURRENT MED MERGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092411,
            1092430,
            1092431,
            1092549,
            1092550,
            1092722,
            1092740,
            1092764,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1111F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1111F",
      "description": "DSCHRG MED/CURRENT MED MERGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1111F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1111F",
      "description": "DSCHRG MED/CURRENT MED MERGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092497
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1111F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1111F",
      "description": "DSCHRG MED/CURRENT MED MERGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 80,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092396,
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1111F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1111F",
      "description": "DSCHRG MED/CURRENT MED MERGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.868,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 104.627,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.357,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.004,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.602,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 115.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 118.345,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 118.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.277,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.824,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.2935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.781,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.7349,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.11,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.7668,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.8307,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.041,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.5878,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.9266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.742,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.8034,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.309,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.0224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11200",
      "description": "RMVL SKIN TAGS UP TO\u0026INC 15",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.6235,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11201",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11201",
      "description": "RMVL SKIN TAGS EA ADDL 10",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 17.365,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11201",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11201",
      "description": "RMVL SKIN TAGS EA ADDL 10",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 19.734,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1123F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1123F",
      "description": "ACP DISCUSS/DSCN MKR DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1123F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1123F",
      "description": "ACP DISCUSS/DSCN MKR DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092475,
            1092504,
            1092509,
            1092510,
            1092549,
            1092752,
            1092793
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1124F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1124F",
      "description": "ACP DISCUSS-NO DSCNMKR DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1124F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1124F",
      "description": "ACP DISCUSS-NO DSCNMKR DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092510,
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1125F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1125F",
      "description": "AMNT PAIN NOTED PAIN PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092546,
            1092593,
            1092723,
            1092741,
            1092864
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1125F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1125F",
      "description": "AMNT PAIN NOTED PAIN PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1125F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1125F",
      "description": "AMNT PAIN NOTED PAIN PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092418,
            1092430,
            1092444,
            1092504,
            1092509,
            1092511,
            1092706,
            1092722,
            1092731,
            1092740,
            1092764,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1125F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1125F",
      "description": "AMNT PAIN NOTED PAIN PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1125F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1125F",
      "description": "AMNT PAIN NOTED PAIN PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1125F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1125F",
      "description": "AMNT PAIN NOTED PAIN PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1126F",
      "description": "AMNT PAIN NOTED NONE PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092546,
            1092594,
            1092741,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1126F",
      "description": "AMNT PAIN NOTED NONE PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1126F",
      "description": "AMNT PAIN NOTED NONE PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092257,
            1092430,
            1092444,
            1092504,
            1092509,
            1092510,
            1092511,
            1092706,
            1092707,
            1092722,
            1092740,
            1092764,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1126F",
      "description": "AMNT PAIN NOTED NONE PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1126F",
      "description": "AMNT PAIN NOTED NONE PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1126F",
      "description": "AMNT PAIN NOTED NONE PRSNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.001,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.223,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.002,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.668,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.668,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.0725,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.0161,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 32.3646,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.0617,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.4102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.4895,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.8355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.1528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.5013,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.8745,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.768,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.3545,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.6678,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11300",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.2235,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.323,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.945,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.814,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.085,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 130.524,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.401,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.927,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.55,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.032,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 179.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.053,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.2817,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.3374,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.5046,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.6255,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.044,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.925,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.881,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.2995,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.7832,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.8389,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.392,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.8105,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11301",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11302",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.653,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11302",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.636,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11302",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.945,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11302",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.9746,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11302",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.5354,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11302",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.676,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11303",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11303",
      "description": "SHAVE SKIN LESION \u003E2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.805,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11303",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11303",
      "description": "SHAVE SKIN LESION \u003E2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.3113,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.739,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.973,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.752,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.4494,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.5375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.5875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11305",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 111.649,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.605,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.352,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 148.866,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 153.518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 175.136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.609,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.7262,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.567,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.972,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.3016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.2485,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.5865,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11306",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11307",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11307",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11307",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11307",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11307",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11307",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11307",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11307",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11308",
      "description": "SHAVE SKIN LESION \u003E2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.059,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11308",
      "description": "SHAVE SKIN LESION \u003E2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.7284,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.925,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 118.307,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 118.565,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.185,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 143.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.598,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 164.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 170.115,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 39.3465,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.446,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.852,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.654,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.508,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.466,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11310",
      "description": "SHAVE SKIN LESION 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.842,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 160.693,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166.874,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 173.363,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.956,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.4175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.55,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.7943,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.942,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.2355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.804,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.758,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.8597,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11311",
      "description": "SHAVE SKIN LESION 0.6-1.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.482,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11312",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 183.001,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11312",
      "description": "SHAVE SKIN LESION 1.1-2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.065,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11313",
      "description": "SHAVE SKIN LESION \u003E2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 104.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11313",
      "description": "SHAVE SKIN LESION \u003E2.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.492,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.644,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.779,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.699,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.138,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.114,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 182.528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 186.016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.0661,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11400",
      "description": "EXC TR-EXT B9\u002BMARG 0.5 CM\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.666,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.746,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.583,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.256,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.219,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.509,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.025,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 227.088,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 242.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11401",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11401",
      "description": "EXC TR-EXT B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.5505,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.486,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.297,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.315,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 160.079,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 173.312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.089,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.481,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 211.869,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 213.438,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 251.104,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11402",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11402",
      "description": "EXC TR-EXT B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 271.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 209.668,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 225.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 232.765,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 246.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 291.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 300.828,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11403",
      "description": "EXC TR-EXT B9\u002BMARG 2.1-3CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 313.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 172.071,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.689,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 202.436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 228.724,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 237.521,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 249.152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.087,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 275.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 331.184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11404",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11404",
      "description": "EXC TR-EXT B9\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 358.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11406",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11406",
      "description": "EXC TR-EXT B9\u002BMARG \u003E4.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 305.682,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11406",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11406",
      "description": "EXC TR-EXT B9\u002BMARG \u003E4.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 317.439,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11406",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11406",
      "description": "EXC TR-EXT B9\u002BMARG \u003E4.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 385.749,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11406",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11406",
      "description": "EXC TR-EXT B9\u002BMARG \u003E4.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 387.981,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11406",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11406",
      "description": "EXC TR-EXT B9\u002BMARG \u003E4.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 400.586,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11406",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11406",
      "description": "EXC TR-EXT B9\u002BMARG \u003E4.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 489.605,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11420",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11420",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.5/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11420",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11420",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.5/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.672,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 182.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 189.436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 219,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11421",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11421",
      "description": "EXC H-F-NK-SP B9\u002BMARG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 233.152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.154,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 153.552,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.026,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 189.175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 197.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 204.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 223.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 232.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 263.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11422",
      "description": "EXC H-F-NK-SP B9\u002BMARG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 291.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 202.327,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 238.032,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 258.441,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 267.786,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 304.048,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11423",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11423",
      "description": "EXC H-F-NK-SP B9\u002BMARG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 342.054,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11426",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11426",
      "description": "EXC H-F-NK-SP B9\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11440",
      "description": "EXC FACE-MM B9\u002BMARG 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.494,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11440",
      "description": "EXC FACE-MM B9\u002BMARG 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 148.718,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11440",
      "description": "EXC FACE-MM B9\u002BMARG 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 159.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11440",
      "description": "EXC FACE-MM B9\u002BMARG 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 206.912,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11441",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11441",
      "description": "EXC FACE-MM B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11441",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11441",
      "description": "EXC FACE-MM B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11441",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11441",
      "description": "EXC FACE-MM B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.784,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11441",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11441",
      "description": "EXC FACE-MM B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 182.102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11441",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11441",
      "description": "EXC FACE-MM B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 223.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11441",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11441",
      "description": "EXC FACE-MM B9\u002BMARG 0.6-1 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 277.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11442",
      "description": "EXC FACE-MM B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.378,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11442",
      "description": "EXC FACE-MM B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.791,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11442",
      "description": "EXC FACE-MM B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 227.238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11442",
      "description": "EXC FACE-MM B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 249.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11442",
      "description": "EXC FACE-MM B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 292.397,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11442",
      "description": "EXC FACE-MM B9\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 313.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11450",
      "description": "EXC SKN HDRDNT AX SMPL/NTRM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 412.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11450",
      "description": "EXC SKN HDRDNT AX SMPL/NTRM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 596.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1157F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1157F",
      "description": "ADVNC CARE PLAN IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1158F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1158F",
      "description": "ADVNC CARE PLAN TLK DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1159F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1159F",
      "description": "MED LIST DOCD IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092723,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1159F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1159F",
      "description": "MED LIST DOCD IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1159F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1159F",
      "description": "MED LIST DOCD IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092403,
            1092418,
            1092430,
            1092431,
            1092475,
            1092486,
            1092504,
            1092509,
            1092510,
            1092511,
            1092549,
            1092550,
            1092637,
            1092706,
            1092719,
            1092722,
            1092740,
            1092764,
            1092811,
            1092832,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1159F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1159F",
      "description": "MED LIST DOCD IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1159F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1159F",
      "description": "MED LIST DOCD IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1159F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1159F",
      "description": "MED LIST DOCD IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166.888,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 170.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 205.401,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 241.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 241.648,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.642,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 249.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 304.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 358.576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11602",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11602",
      "description": "EXC TR-EXT MAL\u002BMARG 1.1-2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 369.781,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11603",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11603",
      "description": "EXC TR-EXT MAL\u002BMARG 2.1-3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 246.106,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11603",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11603",
      "description": "EXC TR-EXT MAL\u002BMARG 2.1-3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 298.584,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11603",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11603",
      "description": "EXC TR-EXT MAL\u002BMARG 2.1-3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 348.704,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11603",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11603",
      "description": "EXC TR-EXT MAL\u002BMARG 2.1-3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 423.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 207.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 225.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 259.623,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.609,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 271.606,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 319.536,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 372.255,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 386.573,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 389.436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11604",
      "description": "EXC TR-EXT MAL\u002BMARG 3.1-4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 458.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11606",
      "description": "EXC TR-EXT MAL\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 387.075,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11606",
      "description": "EXC TR-EXT MAL\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 431.738,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11606",
      "description": "EXC TR-EXT MAL\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 521.063,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11606",
      "description": "EXC TR-EXT MAL\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 539.539,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11606",
      "description": "EXC TR-EXT MAL\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 601.793,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11606",
      "description": "EXC TR-EXT MAL\u002BMARG \u003E4 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 726.303,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1160F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1160F",
      "description": "RVW MEDS BY RX/DR IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092546,
            1092593,
            1092594,
            1092723,
            1092804,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1160F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1160F",
      "description": "RVW MEDS BY RX/DR IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1160F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1160F",
      "description": "RVW MEDS BY RX/DR IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092403,
            1092418,
            1092430,
            1092444,
            1092475,
            1092486,
            1092504,
            1092509,
            1092510,
            1092511,
            1092632,
            1092637,
            1092706,
            1092719,
            1092722,
            1092740,
            1092764,
            1092811,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1160F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1160F",
      "description": "RVW MEDS BY RX/DR IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1160F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1160F",
      "description": "RVW MEDS BY RX/DR IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1160F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1160F",
      "description": "RVW MEDS BY RX/DR IN RCRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11621",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11621",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 224.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11621",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11621",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 336.144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11622",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11622",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11622",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11622",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 181.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11622",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11622",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 253.328,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11622",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11622",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 296.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11622",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11622",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 370.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11622",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11622",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 427.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11623",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11623",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 313.888,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11623",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11623",
      "description": "EXC S/N/H/F/G MAL\u002BMRG 2.1-3",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11641",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11641",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11641",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11641",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11642",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11642",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 231.649,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11642",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11642",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 272.528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11642",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11642",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 325.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11642",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11642",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 334.642,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11642",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11642",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 393.696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11642",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11642",
      "description": "EXC F/E/E/N/L MAL\u002BMRG 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 460.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1170F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1170F",
      "description": "FXNL STATUS ASSESSED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092723
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1170F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1170F",
      "description": "FXNL STATUS ASSESSED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430,
            1092504,
            1092510,
            1092722,
            1092740,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11719",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11719",
      "description": "TRIM NAIL(S) ANY NUMBER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 15.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11719",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11719",
      "description": "TRIM NAIL(S) ANY NUMBER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 8.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 16.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 16.452,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 17.823,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 26.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 32.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 39.273,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11720",
      "description": "DEBRIDE NAIL 1-5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 26.0245,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.156,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 29.419,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.5505,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.208,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.4215,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.7135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.788,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.937,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.0115,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.384,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.2775,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11721",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11721",
      "description": "DEBRIDE NAIL 6 OR MORE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.01,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 119.738,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.356,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.562,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166.592,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 173.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.397,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.014,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.553,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.7246,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11730",
      "description": "AVULSION NAIL PLATE SIMPLE 1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11732",
      "description": "AVLSN NAIL PLATE SIMPLE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 25.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11732",
      "description": "AVLSN NAIL PLATE SIMPLE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11732",
      "description": "AVLSN NAIL PLATE SIMPLE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11732",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11732",
      "description": "AVLSN NAIL PLATE SIMPLE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11740",
      "description": "EVACUATION SUBUNGUAL HMTMA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.7525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11740",
      "description": "EVACUATION SUBUNGUAL HMTMA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.533,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.561,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.636,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092374,
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.189,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.966,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 129.921,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.848,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 157.624,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 161.894,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 168.486,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 175.812,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092374,
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 179.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 182.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 190.463,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 197.789,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 199.254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 228.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 234.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 241.741,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 313.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11750",
      "description": "EXCISION NAIL\u0026NAIL MATRIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 372.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11755",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11755",
      "description": "BIOPSY NAIL UNIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.942,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11755",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11755",
      "description": "BIOPSY NAIL UNIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.3496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11755",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11755",
      "description": "BIOPSY NAIL UNIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11755",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11755",
      "description": "BIOPSY NAIL UNIT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1175F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1175F",
      "description": "FUNCTION STAT ASSESSED RVWD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11760",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11760",
      "description": "REPAIR OF NAIL BED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 164.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11760",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11760",
      "description": "REPAIR OF NAIL BED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.376,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11760",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11760",
      "description": "REPAIR OF NAIL BED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 272.022,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11760",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11760",
      "description": "REPAIR OF NAIL BED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 446.154,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11765",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11765",
      "description": "WEDGE EXCISION SKN NAIL FOLD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.606,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11765",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11765",
      "description": "WEDGE EXCISION SKN NAIL FOLD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11765",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11765",
      "description": "WEDGE EXCISION SKN NAIL FOLD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 234.684,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11765",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11765",
      "description": "WEDGE EXCISION SKN NAIL FOLD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 239.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11770",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11770",
      "description": "EXC PILONIDAL CYST SIMPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 288.816,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11770",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11770",
      "description": "EXC PILONIDAL CYST SIMPLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 523.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11771",
      "description": "EXC PILONIDAL CYST XTNSV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 704.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11771",
      "description": "EXC PILONIDAL CYST XTNSV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 742.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11771",
      "description": "EXC PILONIDAL CYST XTNSV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 926.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11771",
      "description": "EXC PILONIDAL CYST XTNSV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 956.092,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.0083,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 28.1826,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 28.5515,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.5311,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.7054,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.7745,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 32.8797,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 33.156,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092487,
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 33.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.919,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 37.3005,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 38.7511,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 38.8025,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.208,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.5895,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.2015,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.4276,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.8799,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.1061,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.237,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.3322,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.856,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092487,
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.094,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.713,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.463,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.808,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.427,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11900",
      "description": "INJECT SKIN LESIONS \u003C/W 7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11901",
      "description": "INJECT SKIN LESIONS \u003E7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.5145,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11901",
      "description": "INJECT SKIN LESIONS \u003E7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.8605,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11901",
      "description": "INJECT SKIN LESIONS \u003E7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11901",
      "description": "INJECT SKIN LESIONS \u003E7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.068,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11901",
      "description": "INJECT SKIN LESIONS \u003E7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.129,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11901",
      "description": "INJECT SKIN LESIONS \u003E7",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.798,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11970",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11970",
      "description": "RPLCMT TISS XPNDR PERM IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 717.512,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11970",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11970",
      "description": "RPLCMT TISS XPNDR PERM IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 876.958,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11976",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11976",
      "description": "REMOVE CONTRACEPTIVE CAPSULE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 183.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11976",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11976",
      "description": "REMOVE CONTRACEPTIVE CAPSULE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 266.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11980",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11980",
      "description": "IMPLANT HORMONE PELLET(S)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.653,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11980",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11980",
      "description": "IMPLANT HORMONE PELLET(S)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.713,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092639,
            1092649
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 149.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.11,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 159.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 240.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.77,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.1175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092806
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.55,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092639,
            1092649
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.8405,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092806
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11981",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11981",
      "description": "INSERTION DRUG DLVR IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092639
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.551,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.042,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.645,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.925,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 130.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092639
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.105,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.128,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166.073,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 168.795,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.025,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 237.023,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 278.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.245,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.998,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11982",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11982",
      "description": "REMOVE DRUG IMPLANT DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.918,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.647,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.892,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 159.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.013,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.704,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 179.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 210.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 217.932,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 301.129,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 354.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 367.523,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "11983",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "11983",
      "description": "REMOVE/INSERT DRUG IMPLANT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 432.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.519,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 111.995,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.731,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.967,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092605
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.303,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.918,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092862,
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.142,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092706,
            1092788
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.674,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092394
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 148.265,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092392
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.619,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 172.634,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 176.607,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092666
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 177.469,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092312
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.915,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092461
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 217.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 228.298,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 297.037,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092394
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 299.195,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092392
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.0067,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.921,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.8185,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.6226,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.302,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.7696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092605
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.429,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092706,
            1092788
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.683,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092862,
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.826,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.207,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092666
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.6324,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092312
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.334,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092461
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.1958,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12001",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12001",
      "description": "RPR S/N/AX/GEN/TRNK 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.0725,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.348,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092478
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 115.742,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 118.741,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092399
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.003,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.786,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092247,
            1092333,
            1092423,
            1092481,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 168.352,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092308
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 176.188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 204.087,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092478
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 223.066,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092399
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 231.803,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.611,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.4115,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.813,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092247,
            1092333,
            1092423,
            1092481,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12002",
      "description": "RPR S/N/AX/GEN/TRNK2.6-7.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092308
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12004",
      "description": "RPR S/N/AX/GEN/TRK7.6-12.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.917,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12004",
      "description": "RPR S/N/AX/GEN/TRK7.6-12.5CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 325.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12005",
      "description": "RPR S/N/A/GEN/TRK12.6-20.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 149.011,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12005",
      "description": "RPR S/N/A/GEN/TRK12.6-20.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 270.072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.427,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092312
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.542,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 118.703,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.176,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092258
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.347,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 149.669,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.118,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 212.633,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092312
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 237.406,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092258
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.088,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.056,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092835
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12011",
      "description": "RPR F/E/E/N/L/M 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.024,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12013",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12013",
      "description": "RPR F/E/E/N/L/M 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.257,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12013",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12013",
      "description": "RPR F/E/E/N/L/M 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.197,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 170.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 190.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.263,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092804
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 226.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 228.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 241.883,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 254.466,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 272.711,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 278.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 320.139,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 322.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 379.424,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 404.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12031",
      "description": "INTMD RPR S/A/T/EXT 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 426.852,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092333
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 204.071,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 204.516,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 205.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092333
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 231.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 240.084,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 241.862,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 284.544,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 293.436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 317.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 317.699,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 318.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 340.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 359.138,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 372.951,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 375.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 442.016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 455.829,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12032",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12032",
      "description": "INTMD RPR S/A/T/EXT 2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 517.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12034",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12034",
      "description": "INTMD RPR S/TR/EXT 7.6-12.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 261.786,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12034",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12034",
      "description": "INTMD RPR S/TR/EXT 7.6-12.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 414.079,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12036",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12036",
      "description": "INTMD RPR S/A/T/EXT 20.1-30",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 440.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12036",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12036",
      "description": "INTMD RPR S/A/T/EXT 20.1-30",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 661.171,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092788
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 181.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092788
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 186.007,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.832,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 254.328,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 324.673,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 361.003,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12041",
      "description": "INTMD RPR N-HF/GENIT 2.5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 381.968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 210.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 211.013,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 215.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 293.584,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 324.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 380.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12042",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12042",
      "description": "INTMD RPR N-HF/GENIT2.6-7.5",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 451.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 181.861,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 205.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 213.489,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 215.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 294.699,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 319.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 345.951,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 348.514,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12051",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12051",
      "description": "INTMD RPR FACE/MM 2.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 456.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 215,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 215.096,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 229.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 252.504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 299.264,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 330.315,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 387.761,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 459.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "12052",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "12052",
      "description": "INTMD RPR FACE/MM 2.6-5.0 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 473.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1220F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1220F",
      "description": "PT SCREENED FOR DEPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092723
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1220F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1220F",
      "description": "PT SCREENED FOR DEPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430,
            1092722
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 253.962,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 298.779,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 333.254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 337.284,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 367.728,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 396.916,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 461.472,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 466.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 520.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13101",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13101",
      "description": "CMPLX RPR TRUNK 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 574.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13102",
      "description": "CMPLX RPR TRUNK ADDL 5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.872,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13102",
      "description": "CMPLX RPR TRUNK ADDL 5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13102",
      "description": "CMPLX RPR TRUNK ADDL 5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.584,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13102",
      "description": "CMPLX RPR TRUNK ADDL 5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 170.576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13102",
      "description": "CMPLX RPR TRUNK ADDL 5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13102",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13102",
      "description": "CMPLX RPR TRUNK ADDL 5CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.759,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13120",
      "description": "CMPLX RPR S/A/L 1.1-2.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 237.674,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13120",
      "description": "CMPLX RPR S/A/L 1.1-2.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 356.197,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 278.093,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 304.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092333
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 339.153,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 346.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092333
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 386.912,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 399.003,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 423.185,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 444.486,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 542.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 570.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 618.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 637.741,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 676.392,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13121",
      "description": "CMPLX RPR S/A/L 2.6-7.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 754.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13122",
      "description": "CMPLX RPR S/A/L ADDL 5 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.331,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13122",
      "description": "CMPLX RPR S/A/L ADDL 5 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.048,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13122",
      "description": "CMPLX RPR S/A/L ADDL 5 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 191.515,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13122",
      "description": "CMPLX RPR S/A/L ADDL 5 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.123,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 281.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 293.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 363.456,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 374.814,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 416.866,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 528.683,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 566.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13131",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13131",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 583.885,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 325.346,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 381.929,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 391.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 452.656,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 466.802,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 493.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 495.093,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 499.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 579.245,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 686.512,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 698.419,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 707.965,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 750.872,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 821.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 844.305,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13132",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13132",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 993.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13133",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13133",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13133",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13133",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 243.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13133",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13133",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 249.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13133",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13133",
      "description": "CMPLX RPR F/C/C/M/N/AX/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 297.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13151",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13151",
      "description": "CMPLX RPR E/N/E/L 1.1-2.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 430.188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13151",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13151",
      "description": "CMPLX RPR E/N/E/L 1.1-2.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 637.808,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13160",
      "description": "SEC CLSR SURG WND/DEHSN XTN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1069.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13160",
      "description": "SEC CLSR SURG WND/DEHSN XTN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1205.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13160",
      "description": "SEC CLSR SURG WND/DEHSN XTN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1243.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "13160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "13160",
      "description": "SEC CLSR SURG WND/DEHSN XTN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 904.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14020",
      "description": "TIS TRNFR S/A/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1228.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14020",
      "description": "TIS TRNFR S/A/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 538.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14020",
      "description": "TIS TRNFR S/A/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 607.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14020",
      "description": "TIS TRNFR S/A/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 990.612,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1025.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1238.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 609.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 683.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 703.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 761.904,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 848.976,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14040",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 919.724,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14041",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1119.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14041",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1145.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14041",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1377.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14041",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 824.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14041",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 843.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14041",
      "description": "TIS TRNFR F/C/C/M/N/A/G/H/F",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 930.839,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14060",
      "description": "TIS TRNFR E/N/E/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1145.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14060",
      "description": "TIS TRNFR E/N/E/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 658.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14060",
      "description": "TIS TRNFR E/N/E/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 717.462,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14060",
      "description": "TIS TRNFR E/N/E/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 724.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14060",
      "description": "TIS TRNFR E/N/E/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 823.193,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14060",
      "description": "TIS TRNFR E/N/E/L 10 SQ CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 998.208,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14061",
      "description": "TIS TRNFR E/N/E/L10.1-30SQCM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1227.34,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14061",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14061",
      "description": "TIS TRNFR E/N/E/L10.1-30SQCM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1484.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1063.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1308.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1308.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1431.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1610.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1702.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1761.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1994.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 286.325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14301",
      "description": "TIS TRNFR ANY 30.1-60 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 352.334,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14302",
      "description": "TIS TRNFR ADDL 30 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 263.666,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14302",
      "description": "TIS TRNFR ADDL 30 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 354.935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "14302",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "14302",
      "description": "TIS TRNFR ADDL 30 SQ CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.987,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1494F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1494F",
      "description": "COGNIT ASSESSED AND REVIEWED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1494F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1494F",
      "description": "COGNIT ASSESSED AND REVIEWED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15002",
      "description": "WOUND PREP TRK/ARM/LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 280.206,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15002",
      "description": "WOUND PREP TRK/ARM/LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 425.007,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15003",
      "description": "WOUND PREP ADDL 100 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.9295,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15003",
      "description": "WOUND PREP ADDL 100 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15004",
      "description": "WOUND PREP F/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 294.972,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15004",
      "description": "WOUND PREP F/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 430.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15004",
      "description": "WOUND PREP F/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 434.304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15004",
      "description": "WOUND PREP F/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 633.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "1502F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "1502F",
      "description": "PT QUERIED PAIN FXN W/ INSTR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15240",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15240",
      "description": "FTH/GFT F/C/C/M/N/AX/G/H/F20",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1304.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15240",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15240",
      "description": "FTH/GFT F/C/C/M/N/AX/G/H/F20",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1509.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15260",
      "description": "FTH/GFT FR N/E/E/L 20 SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1268.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15260",
      "description": "FTH/GFT FR N/E/E/L 20 SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1487.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15260",
      "description": "FTH/GFT FR N/E/E/L 20 SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 731.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15260",
      "description": "FTH/GFT FR N/E/E/L 20 SQCM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 918.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15271",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15271",
      "description": "SKIN SUB GRAFT TRNK/ARM/LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 137.241,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15271",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15271",
      "description": "SKIN SUB GRAFT TRNK/ARM/LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.6233,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15272",
      "description": "SKIN SUB GRAFT T/A/L ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 15.4836,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15272",
      "description": "SKIN SUB GRAFT T/A/L ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 22.1111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15273",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15273",
      "description": "SKIN SUB GRFT T/ARM/LG CHILD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.293,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15273",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15273",
      "description": "SKIN SUB GRFT T/ARM/LG CHILD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 379.769,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15274",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15274",
      "description": "SKN SUB GRFT T/A/L CHILD ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.079,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15274",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15274",
      "description": "SKN SUB GRFT T/A/L CHILD ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.6445,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15275",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15275",
      "description": "SKIN SUB GRAFT FACE/NK/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.857,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15275",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15275",
      "description": "SKIN SUB GRAFT FACE/NK/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 255.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15730",
      "description": "MDFC FLAP W/PRSRV VASC PEDCL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1403.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15730",
      "description": "MDFC FLAP W/PRSRV VASC PEDCL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 933.833,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15734",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15734",
      "description": "MUSCLE-SKIN GRAFT TRUNK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1919,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15734",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15734",
      "description": "MUSCLE-SKIN GRAFT TRUNK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2458.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15734",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15734",
      "description": "MUSCLE-SKIN GRAFT TRUNK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2487.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15734",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15734",
      "description": "MUSCLE-SKIN GRAFT TRUNK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2740.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15734",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15734",
      "description": "MUSCLE-SKIN GRAFT TRUNK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 497.518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15738",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15738",
      "description": "MUSCLE-SKIN GRAFT LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1431.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15738",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15738",
      "description": "MUSCLE-SKIN GRAFT LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1550.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15738",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15738",
      "description": "MUSCLE-SKIN GRAFT LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1908.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15740",
      "description": "ISLAND PEDICLE FLAP GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1388.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15740",
      "description": "ISLAND PEDICLE FLAP GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1656.55,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15750",
      "description": "NEUROVASCULAR PEDICLE FLAP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1541.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15750",
      "description": "NEUROVASCULAR PEDICLE FLAP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.308,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15769",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15769",
      "description": "GRFG AUTOL SOFT TISS DIR EXC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 749.199,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15771",
      "description": "GRFG AUTOL FAT LIPO 50 CC/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 774.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15771",
      "description": "GRFG AUTOL FAT LIPO 50 CC/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 799.095,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15771",
      "description": "GRFG AUTOL FAT LIPO 50 CC/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 913.488,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15771",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15771",
      "description": "GRFG AUTOL FAT LIPO 50 CC/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 942.034,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15772",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15772",
      "description": "GRFG AUTOL FAT LIPO EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 225.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15772",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15772",
      "description": "GRFG AUTOL FAT LIPO EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 232.337,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15772",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15772",
      "description": "GRFG AUTOL FAT LIPO EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 288.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15772",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15772",
      "description": "GRFG AUTOL FAT LIPO EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 297.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15777",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15777",
      "description": "ACELLULAR DERM MATRIX IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 333.976,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642,
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15823",
      "description": "BLEPHARP UPR EYELID XCSV SKN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1075.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092654
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15823",
      "description": "BLEPHARP UPR EYELID XCSV SKN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 582.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15823",
      "description": "BLEPHARP UPR EYELID XCSV SKN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 586.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15823",
      "description": "BLEPHARP UPR EYELID XCSV SKN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 609.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15823",
      "description": "BLEPHARP UPR EYELID XCSV SKN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 683.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15839",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15839",
      "description": "EXC EXCESSIVE SKN OTHER AREA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1223.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15839",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15839",
      "description": "EXC EXCESSIVE SKN OTHER AREA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1459.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15840",
      "description": "NERVE PALSY FASCIAL GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1658.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15842",
      "description": "NERVE PALSY MICROSURG GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 4449.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15851",
      "description": "Removal sutr/staple req anes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.854,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15851",
      "description": "Removal sutr/staple req anes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.668,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15851",
      "description": "Removal sutr/staple req anes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.748,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15851",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15851",
      "description": "Removal sutr/staple req anes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.2155,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15853",
      "description": "REMOVAL SUTR/STAPL XREQ ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 11.066,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669,
            1092704
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15853",
      "description": "REMOVAL SUTR/STAPL XREQ ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 11.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15853",
      "description": "REMOVAL SUTR/STAPL XREQ ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 16.096,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15853",
      "description": "REMOVAL SUTR/STAPL XREQ ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 26.7143,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092520
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15853",
      "description": "REMOVAL SUTR/STAPL XREQ ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "15854",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "15854",
      "description": "REMOVAL SUTR\u0026STAPL XREQ ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 29.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "16020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "16020",
      "description": "DRESS/DEBRID P-THICK BURN S",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.778,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "16020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "16020",
      "description": "DRESS/DEBRID P-THICK BURN S",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.9685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.894,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.441,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.3505,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.385,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.7254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.133,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.8874,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575,
            1092634
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.2113,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092559
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.3733,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.5005,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.9569,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.044,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.5875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.6072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575,
            1092634
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.926,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.131,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.6745,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.9078,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092559
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.1832,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.3452,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.5581,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.7615,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.832,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.9225,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092599
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.8659,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.9595,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.068,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.392,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.9355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.8096,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.4599,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.422,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.566,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.9052,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17000",
      "description": "DESTRUCT PREMALG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1.8377,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1.9176,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 10.818,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 11.288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 13.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 19.0995,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092599
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.0774,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092559
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.1573,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.162,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.2185,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.256,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.538,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.5568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.726,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2.9516,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 22.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3.102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3.384,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3.723,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 4.5985,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 5.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 5.8735,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 5.87477,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 6.1302,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 6.64105,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092559
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 6.89647,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 6.9115,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 7.212,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 7.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 7.5125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 7.813,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 8.1135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 8.1736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 8.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 8.7145,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 9.4357,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 9.616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17003",
      "description": "DESTRUCT PREMALG LES 2-14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 9.9165,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.091,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.107,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.632,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.824,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.095,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 167.861,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 190.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 197.483,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 206.598,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 239.01,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 243.056,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17004",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17004",
      "description": "DESTROY PREMAL LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 302.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.229,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092783,
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 104.489,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.196,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092541,
            1092559,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.55,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.806,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092487,
            1092511,
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.813,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.172,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496,
            1092558,
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.294,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 139.318,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092785,
            1092812,
            1092817
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 143.672,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 148.538,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 157.182,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 160.831,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.904,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092783,
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 169.026,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.6305,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092806
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.4036,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.1168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092575
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.5432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092541,
            1092559,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502,
            1092706,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.7485,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092806
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.2564,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092487,
            1092511,
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.4112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.0955,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092599
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.992,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496,
            1092558,
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.0875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502,
            1092706,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.8224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092785,
            1092812,
            1092817
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.5356,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17110",
      "description": "DESTRUCTION B9 LES UP TO 14",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.8495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.829,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.529,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.328,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.572,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.874,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 156.988,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 164.234,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 219.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.6925,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.2685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.8837,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.0795,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17111",
      "description": "DESTRUCTION B9 LESIONS 15/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.356,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.199,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 32.0705,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.2223,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.2635,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.1015,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.9465,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.9657,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.9075,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092804
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17250",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17250",
      "description": "CHEM CAUT OF GRANLTJ TISSUE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.8374,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17260",
      "description": "DSTRJ MAL LES T/A/L 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17260",
      "description": "DSTRJ MAL LES T/A/L 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.522,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17260",
      "description": "DSTRJ MAL LES T/A/L 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17260",
      "description": "DSTRJ MAL LES T/A/L 0.5 CM/\u003C",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.0592,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092595
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.078,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.856,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 132.402,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 155.767,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166.942,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092595
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.212,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 216.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.5558,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.7715,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17261",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17261",
      "description": "DSTRJ MAL LES T/A/L .6-1.0CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.629,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.692,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092558
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 159.313,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 166,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 211.874,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092558
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 221.653,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 260.768,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17262",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17262",
      "description": "DSTRJ MAL LES T/A/L 1.1-2.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 268.917,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17263",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17263",
      "description": "DSTRJ MAL LES T/A/L 2.1-3.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 156.046,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17263",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17263",
      "description": "DSTRJ MAL LES T/A/L 2.1-3.0",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 240.611,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17271",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17271",
      "description": "DSTR MAL LES S/N/H/F/G 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.512,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17271",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17271",
      "description": "DSTR MAL LES S/N/H/F/G 0.6-1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 244.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 115.804,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.399,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 130.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 182.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.651,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17272",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17272",
      "description": "DSTR MAL LES S/N/H/F/G 1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 276.384,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17282",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17282",
      "description": "DSTR MAL LS F/E/E/N/L/M1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17282",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17282",
      "description": "DSTR MAL LS F/E/E/N/L/M1.1-2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 256.986,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1027.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1089.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 382.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 411.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 432.549,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 449.186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 532.368,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 549.005,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 582.278,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 632.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 716.094,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 809.497,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 840.632,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17311",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17311",
      "description": "MOHS 1 STAGE H/N/HF/G",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 996.304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.975,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 239.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 283.792,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 292.661,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 380.34,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 431.031,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 505.994,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 599.696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17312",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17312",
      "description": "MOHS ADDL STAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 618.437,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17313",
      "description": "MOHS 1 STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 369.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17313",
      "description": "MOHS 1 STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 403.475,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17313",
      "description": "MOHS 1 STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 478.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17313",
      "description": "MOHS 1 STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 577.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17313",
      "description": "MOHS 1 STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 788.953,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17313",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17313",
      "description": "MOHS 1 STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 935.056,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17314",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17314",
      "description": "MOHS ADDL STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 202.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17314",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17314",
      "description": "MOHS ADDL STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 220.752,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17314",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17314",
      "description": "MOHS ADDL STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 352.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17314",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17314",
      "description": "MOHS ADDL STAGE T/A/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 483.705,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "17999",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "17999",
      "description": "Unlistd px skn muc memb subq",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092509,
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19000",
      "description": "PUNCTURE ASPIR CYST BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.256,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19000",
      "description": "PUNCTURE ASPIR CYST BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19000",
      "description": "PUNCTURE ASPIR CYST BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19000",
      "description": "PUNCTURE ASPIR CYST BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            },
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285,
            1092295
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285,
            1092295
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 206.294,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 229.215,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092567
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 267.418,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 320.901,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092314
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 593.757,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 659.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092567
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 682.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            },
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 682.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285,
            1092295
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 682.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285,
            1092295
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 769.685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19081",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19081",
      "description": "BX BREAST 1ST LESION STRTCTC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 923.622,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092314
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 165.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 258.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 272.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092453
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 499.606,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 676.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 781.992,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19083",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19083",
      "description": "BX BREAST 1ST LESION US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 825.436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092453
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19085",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19085",
      "description": "BX BREAST 1ST LESION MR IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1019.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19085",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19085",
      "description": "BX BREAST 1ST LESION MR IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 216.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19120",
      "description": "REMOVAL OF BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 439.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19120",
      "description": "REMOVAL OF BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 518.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19120",
      "description": "REMOVAL OF BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 658.036,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19120",
      "description": "REMOVAL OF BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 755.118,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19120",
      "description": "REMOVAL OF BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 804.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19120",
      "description": "REMOVAL OF BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 931.986,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19125",
      "description": "EXCISION BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1029.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19125",
      "description": "EXCISION BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 786.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19125",
      "description": "EXCISION BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 839.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19125",
      "description": "EXCISION BREAST LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 904.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19281",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19281",
      "description": "PERQ DEVICE BREAST 1ST IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.662,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19281",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19281",
      "description": "PERQ DEVICE BREAST 1ST IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 250.367,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19285",
      "description": "PERQ DEV BREAST 1ST US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 149.359,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092453
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19285",
      "description": "PERQ DEV BREAST 1ST US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 468.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19285",
      "description": "PERQ DEV BREAST 1ST US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 603.972,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092453
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19285",
      "description": "PERQ DEV BREAST 1ST US IMAG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19301",
      "description": "PARTIAL MASTECTOMY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1037.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19301",
      "description": "PARTIAL MASTECTOMY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1086.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19301",
      "description": "PARTIAL MASTECTOMY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 817.336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19303",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19303",
      "description": "MAST SIMPLE COMPLETE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1234.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19303",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19303",
      "description": "MAST SIMPLE COMPLETE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1678.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19316",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19316",
      "description": "MASTOPEXY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1236.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19318",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19318",
      "description": "BREAST REDUCTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1034.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19318",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19318",
      "description": "BREAST REDUCTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1655.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19318",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19318",
      "description": "BREAST REDUCTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1707.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19325",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19325",
      "description": "BREAST AUGMENTATION W/IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 959.986,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19342",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19342",
      "description": "INSJ/RPLCMT BRST IMPLT SEP D",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1187.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19357",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19357",
      "description": "TISS XPNDR PLMT BRST RCNSTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1802.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642,
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19370",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19370",
      "description": "REVJ PERI-IMPLT CAPSULE BRST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1048.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19371",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19371",
      "description": "PERI-IMPLT CAPSLC BRST COMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1114.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642,
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19371",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19371",
      "description": "PERI-IMPLT CAPSLC BRST COMPL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 911.655,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19380",
      "description": "REVJ RECONSTRUCTED BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1222.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19380",
      "description": "REVJ RECONSTRUCTED BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1254.75,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092702
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19380",
      "description": "REVJ RECONSTRUCTED BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1260.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092642
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "19380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "19380",
      "description": "REVJ RECONSTRUCTED BREAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 611.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2000F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2000F",
      "description": "BLOOD PRESSURE MEASURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2000F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2000F",
      "description": "BLOOD PRESSURE MEASURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2001F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2001F",
      "description": "WEIGHT RECORD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092832
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20103",
      "description": "EXPL PENTRG WOUND EXTREMITY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 522.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20103",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20103",
      "description": "EXPL PENTRG WOUND EXTREMITY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 823.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2014F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2014F",
      "description": "MENTAL STATUS ASSESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2014F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2014F",
      "description": "MENTAL STATUS ASSESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092411,
            1092549,
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20225",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20225",
      "description": "BONE BIOPSY TROCAR/NDL DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 115.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20225",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20225",
      "description": "BONE BIOPSY TROCAR/NDL DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 527.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092285
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2022F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2022F",
      "description": "DILAT RTA XM EVC RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2023F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2023F",
      "description": "DILAT RTA XM W/O RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092600,
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2023F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2023F",
      "description": "DILAT RTA XM W/O RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092706,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2023F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2023F",
      "description": "DILAT RTA XM W/O RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20240",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20240",
      "description": "BONE BIOPSY OPEN SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.904,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2026F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2026F",
      "description": "EYE IMG VALID EVC RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2028F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2028F",
      "description": "FOOT EXAM PERFORMED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092551,
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2028F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2028F",
      "description": "FOOT EXAM PERFORMED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430,
            1092549,
            1092705,
            1092707,
            1092722,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2028F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2028F",
      "description": "FOOT EXAM PERFORMED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2033F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2033F",
      "description": "EYE IMG VALID W/O RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092707
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2033F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2033F",
      "description": "EYE IMG VALID W/O RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "2033F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "2033F",
      "description": "EYE IMG VALID W/O RTNOPTHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20500",
      "description": "NJX SINUS TRACT THERAPEUTIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20500",
      "description": "NJX SINUS TRACT THERAPEUTIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.819,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.964,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 111.665,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.169,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.5211,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.6552,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.7895,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.1625,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.5355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.2773,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.9085,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.369,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.5615,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.871,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20526",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20526",
      "description": "THER INJECTION CARP TUNNEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.2625,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.1968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.4919,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.5845,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.436,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.6395,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.2875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.139,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496,
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.9905,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.3608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.842,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.9023,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.6935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.545,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.248,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.0995,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.1027,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.951,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.944,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.654,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.7029,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.864,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.051,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.356,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092495,
            1092496,
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.062,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.6032,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.768,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.474,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.592,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.298,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.5985,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.004,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20550",
      "description": "NJX 1 TENDON SHEATH/LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.5419,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.1778,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.4496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.2474,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.176,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.0622,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.969,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.692,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20551",
      "description": "NJX 1 TENDON ORIGIN/INSJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.298,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 36.4437,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 38.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 39.445,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.305,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.1058,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.4675,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.706,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.595,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.972,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.394,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.716,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.9371,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.356,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.926,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20552",
      "description": "NJX 1/MLT TRIGGER POINT 1/2",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.022,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.458,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 37.0685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.106,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.8615,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.042,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.713,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.0536,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.5645,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.2457,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.6701,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.7075,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.1815,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.3665,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.3157,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.553,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.9016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.9245,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.6217,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.0865,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20553",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20553",
      "description": "NJX 1/MLT TRIGGER POINTS 3/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.871,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 17.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            },
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 17.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092304,
            1092771
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 17.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092304,
            1092771
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 22.816,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 24.242,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            },
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092304,
            1092771
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092304,
            1092771
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 28.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 37.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 39.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20560",
      "description": "NDL INSJ W/O NJX 1 OR 2 MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20561",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20561",
      "description": "NDL INSJ W/O NJX 3\u002B MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 26.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092771
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20561",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20561",
      "description": "NDL INSJ W/O NJX 3\u002B MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.464,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20561",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20561",
      "description": "NDL INSJ W/O NJX 3\u002B MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092771
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20561",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20561",
      "description": "NDL INSJ W/O NJX 3\u002B MUSC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.901,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.5625,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.3344,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.9375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.6875,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.6255,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.4325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.932,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.0549,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.4275,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 79.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.4175,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.9035,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20600",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.555,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20604",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20604",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.205,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 38.3324,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 39.8935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.628,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511,
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.3625,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.097,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092759,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 46.8315,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.1784,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 48.6527,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.127,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.035,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.0757,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092786
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.2334,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.2385,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.5235,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.068,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511,
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.442,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.6125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.157,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092759,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.963,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.7015,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.2104,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 71.3732,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.5361,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.335,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.8617,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092786
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.424,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.9685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.675,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20605",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.602,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522,
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.812,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.425,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 132.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.868,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 145.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.1296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.976,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20606",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.918,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.945,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 108.972,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522,
            1092535
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.822,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 115.694,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 136.11,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.8957,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540,
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.9135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.5388,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569,
            1092603
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.3603,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548,
            1092741,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.1818,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544,
            1092593
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.289,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.0034,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092791
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.8249,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.575,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536,
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.718,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496,
            1092579,
            1092740,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.1967,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092605
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.732,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 57.861,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092480,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.2896,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 59.1778,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540,
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.004,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092418,
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.1112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.6375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.9327,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.147,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.3238,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569,
            1092603
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.892,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.8967,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548,
            1092741,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.2902,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.0795,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.4697,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544,
            1092593
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.621,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.719,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.0426,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.648,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.862,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.6155,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.005,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.675,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536,
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.148,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522,
            1092535
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092791
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.702,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495,
            1092496,
            1092579,
            1092740,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.6735,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092804
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.7906,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092605
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.729,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092371,
            1092480,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.3344,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.756,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092418,
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.9074,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.4803,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.783,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.0478,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.864,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.5987,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092661
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20610",
      "description": "DRAIN/INJ JOINT/BURSA W/O US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.891,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.351,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.513,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 132.834,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.536,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 146.576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.156,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 167.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.354,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.1056,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.344,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.142,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.536,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.334,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20611",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20611",
      "description": "DRAIN/INJ JOINT/BURSA W/US",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.719,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.635,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 55.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.598,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.01,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20612",
      "description": "ASPIRATE/INJ GANGLION CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 156.986,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 238.892,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 270.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 288.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 362.676,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 504.592,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 551.898,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 668.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20670",
      "description": "REMOVAL IMPLANT SUPERFICIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 700.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1026.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 498.013,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 516.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 517.933,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 577.695,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 637.456,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 657.376,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 690.288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 697.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 717.899,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 744.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 800.734,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 883.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 911.179,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20680",
      "description": "REMOVAL OF IMPLANT DEEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 966.403,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20692",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20692",
      "description": "APPL MLTPLN UNI EXT FIXJ SYS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1717.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20692",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20692",
      "description": "APPL MLTPLN UNI EXT FIXJ SYS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1822.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20692",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20692",
      "description": "APPL MLTPLN UNI EXT FIXJ SYS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 561.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20693",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20693",
      "description": "ADJMT/REVJ EXT FIXJ SYS ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 839.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20694",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20694",
      "description": "RMVL EXT FIXJ SYS UNDER ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 522.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20694",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20694",
      "description": "RMVL EXT FIXJ SYS UNDER ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 590.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20694",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20694",
      "description": "RMVL EXT FIXJ SYS UNDER ANES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 645.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20900",
      "description": "REMOVAL OF BONE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 272.512,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20900",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20900",
      "description": "REMOVAL OF BONE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 554.464,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20902",
      "description": "REMOVAL OF BONE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 414.304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20902",
      "description": "REMOVAL OF BONE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.4317,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20902",
      "description": "REMOVAL OF BONE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.8608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20902",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20902",
      "description": "REMOVAL OF BONE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 987.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20912",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20912",
      "description": "REMOVE CARTILAGE FOR GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 795.918,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20930",
      "description": "SP BONE ALGRFT MORSEL ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092433,
            1092509,
            1092568,
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20930",
      "description": "SP BONE ALGRFT MORSEL ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20930",
      "description": "SP BONE ALGRFT MORSEL ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440,
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20931",
      "description": "SP BONE ALGRFT STRUCT ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 137.423,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20931",
      "description": "SP BONE ALGRFT STRUCT ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 169.136,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20931",
      "description": "SP BONE ALGRFT STRUCT ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.992,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20936",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20936",
      "description": "SP BONE AGRFT LOCAL ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092509,
            1092568,
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20936",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20936",
      "description": "SP BONE AGRFT LOCAL ADD-ON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440,
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20950",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20950",
      "description": "MNTR INTRSTITIAL FLUID PRESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20950",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20950",
      "description": "MNTR INTRSTITIAL FLUID PRESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 370.304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20974",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20974",
      "description": "ESTIM AID BONE HEALG N-INVAS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.448,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20974",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20974",
      "description": "ESTIM AID BONE HEALG N-INVAS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.888,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20979",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20979",
      "description": "LW NTSTY US STIMJ BONE HEALG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.0792,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20979",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20979",
      "description": "LW NTSTY US STIMJ BONE HEALG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.1352,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20985",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20985",
      "description": "CPTR-ASST DIR MS PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 157.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20985",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20985",
      "description": "CPTR-ASST DIR MS PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 184.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20985",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20985",
      "description": "CPTR-ASST DIR MS PX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "20999",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "20999",
      "description": "Unlisted px muscskel general",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092579,
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21011",
      "description": "EXC FACE LES SC \u003C2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 263.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21011",
      "description": "EXC FACE LES SC \u003C2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 312.318,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21011",
      "description": "EXC FACE LES SC \u003C2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 464.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21011",
      "description": "EXC FACE LES SC \u003C2 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 587.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21012",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21012",
      "description": "EXC FACE LES SBQ 2 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 370.185,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21014",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21014",
      "description": "EXC FACE TUM DEEP 2 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 790.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21014",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21014",
      "description": "EXC FACE TUM DEEP 2 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 815.199,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21031",
      "description": "REMOVE EXOSTOSIS MANDIBLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 458.172,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21031",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21031",
      "description": "REMOVE EXOSTOSIS MANDIBLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 628.434,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21040",
      "description": "EXCISE MANDIBLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 615.636,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21040",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21040",
      "description": "EXCISE MANDIBLE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 772.632,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21046",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21046",
      "description": "REMOVE MANDIBLE CYST COMPLEX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1663.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21215",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21215",
      "description": "LOWER JAW BONE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1349.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21215",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21215",
      "description": "LOWER JAW BONE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 6425.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21235",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21235",
      "description": "EAR CARTILAGE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1122.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21235",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21235",
      "description": "EAR CARTILAGE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1224.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21235",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21235",
      "description": "EAR CARTILAGE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1847.28,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21235",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21235",
      "description": "EAR CARTILAGE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 884.466,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21235",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21235",
      "description": "EAR CARTILAGE GRAFT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 964.872,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21295",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21295",
      "description": "REVISION OF JAW MUSCLE/BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 323.488,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 116.688,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 245.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 246.13,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 255.749,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 427.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21320",
      "description": "CLSD TX NSL FX W/MNPJ\u0026STABLJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21335",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21335",
      "description": "OPEN TX NOSE \u0026 SEPTAL FX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1155.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092838
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21335",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21335",
      "description": "OPEN TX NOSE \u0026 SEPTAL FX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 768.349,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21390",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21390",
      "description": "OPN TX ORBIT PERIORBTL IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 700.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21462",
      "description": "OPTX MNDBLR FX W/NTRDNTL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1091.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21462",
      "description": "OPTX MNDBLR FX W/NTRDNTL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1432.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21462",
      "description": "OPTX MNDBLR FX W/NTRDNTL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2314.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21462",
      "description": "OPTX MNDBLR FX W/NTRDNTL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2353.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21501",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21501",
      "description": "I\u0026D DP ABSC/HMTMA SFT TS NCK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 463.971,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21501",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21501",
      "description": "I\u0026D DP ABSC/HMTMA SFT TS NCK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 651.122,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21552",
      "description": "EXC NECK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 457.454,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21552",
      "description": "EXC NECK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 683.408,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21552",
      "description": "EXC NECK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 704.765,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21554",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21554",
      "description": "EXC NECK TUM DEEP 5 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1414.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21555",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21555",
      "description": "EXC NECK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1144.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092782
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21555",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21555",
      "description": "EXC NECK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 482.097,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21555",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21555",
      "description": "EXC NECK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 659.571,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21556",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21556",
      "description": "EXC NECK TUM DEEP \u003C 5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 679.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092571
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21925",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21925",
      "description": "BIOPSY SOFT TISSUE OF BACK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 521.116,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21925",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21925",
      "description": "BIOPSY SOFT TISSUE OF BACK",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 665.55,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21930",
      "description": "EXC BACK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 365.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21930",
      "description": "EXC BACK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 384.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21930",
      "description": "EXC BACK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 435.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21930",
      "description": "EXC BACK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 451.334,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21930",
      "description": "EXC BACK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 553.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21930",
      "description": "EXC BACK LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 604.955,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21931",
      "description": "EXC BACK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 479.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21931",
      "description": "EXC BACK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 584.649,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21931",
      "description": "EXC BACK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 902.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21931",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21931",
      "description": "EXC BACK LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.3903,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "21932",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "21932",
      "description": "EXC BACK TUM DEEP \u003C 5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1296.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22015",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22015",
      "description": "I\u0026D ABSCESS P-SPINE L/S/LS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1315.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22214",
      "description": "INCIS 1 VERTEBRAL SEG LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2099.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22214",
      "description": "INCIS 1 VERTEBRAL SEG LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2316.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22214",
      "description": "INCIS 1 VERTEBRAL SEG LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2534.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22214",
      "description": "INCIS 1 VERTEBRAL SEG LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 356.942,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22214",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22214",
      "description": "INCIS 1 VERTEBRAL SEG LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 393.867,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22216",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22216",
      "description": "INCIS ADDL SPINE SEGMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 501.091,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22216",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22216",
      "description": "INCIS ADDL SPINE SEGMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 552.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22216",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22216",
      "description": "INCIS ADDL SPINE SEGMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 604.765,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22216",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22216",
      "description": "INCIS ADDL SPINE SEGMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.1855,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22216",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22216",
      "description": "INCIS ADDL SPINE SEGMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.9978,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22310",
      "description": "CLOSED TX VERT FX W/O MANJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 453.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22310",
      "description": "CLOSED TX VERT FX W/O MANJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 473.376,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2117.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2280.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2361.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2606.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2687.77,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2850.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3534.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 359.998,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 387.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 443.074,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 456.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 484.613,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22551",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22551",
      "description": "ARTHRD ANT NTRBDY CERVICAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 600.845,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.827,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.467,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.401,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 529.256,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 548.158,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 604.864,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 623.766,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 661.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 825.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22552",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22552",
      "description": "ARTHRD ANT NTRBD CERVICAL EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.9735,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22554",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22554",
      "description": "ARTHRD ANT NTRBD MIN DSC CRV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2411.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22554",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22554",
      "description": "ARTHRD ANT NTRBD MIN DSC CRV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 409.887,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22558",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22558",
      "description": "ARTHRD ANT NTRBD MIN DSC LUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1366.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22558",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22558",
      "description": "ARTHRD ANT NTRBD MIN DSC LUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1457.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22558",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22558",
      "description": "ARTHRD ANT NTRBD MIN DSC LUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2288.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22585",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22585",
      "description": "ARTHRD ANT NTRBD MIN DSC EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.128,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22585",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22585",
      "description": "ARTHRD ANT NTRBD MIN DSC EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22585",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22585",
      "description": "ARTHRD ANT NTRBD MIN DSC EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 665.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22585",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22585",
      "description": "ARTHRD ANT NTRBD MIN DSC EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.9098,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22610",
      "description": "ARTHRD PST TQ 1NTRSPC THRC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1231.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22610",
      "description": "ARTHRD PST TQ 1NTRSPC THRC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2216.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22610",
      "description": "ARTHRD PST TQ 1NTRSPC THRC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2293.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22610",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22610",
      "description": "ARTHRD PST TQ 1NTRSPC THRC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 389.883,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1886.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2263.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2414.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2490.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2970.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 410.521,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22612",
      "description": "ARTHRD PST TQ 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 504.932,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.516,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.454,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 373.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "62"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 597.152,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 653.135,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 671.796,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22614",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22614",
      "description": "ARTHRD PST TQ 1NTRSPC EA ADD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 773.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2252.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2512.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2772.34,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3032.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3741.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 382.929,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 427.113,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 471.297,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22633",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22633",
      "description": "ARTHRD CMBN 1NTRSPC LUMBAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 636.081,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22634",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22634",
      "description": "ARTHRD CMBN 1NTRSPC EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1018.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22634",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22634",
      "description": "ARTHRD CMBN 1NTRSPC EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22634",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22634",
      "description": "ARTHRD CMBN 1NTRSPC EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.683,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22634",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22634",
      "description": "ARTHRD CMBN 1NTRSPC EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 173.121,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22634",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22634",
      "description": "ARTHRD CMBN 1NTRSPC EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 670.001,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22634",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22634",
      "description": "ARTHRD CMBN 1NTRSPC EA ADDL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 739.312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22800",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22800",
      "description": "ARTHRD PST DFRM\u003C6 VRT SGM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2289.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22830",
      "description": "EXPLORATION OF SPINAL FUSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1103.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22830",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22830",
      "description": "EXPLORATION OF SPINAL FUSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.639,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1077.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1148.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1184.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1513.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 158.685,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.304,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 257.266,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 897.537,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22840",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22840",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 933.439,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1054.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1163.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1272.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1309.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1514.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 179.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 197.815,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22842",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 257.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22843",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22843",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1246.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22843",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22843",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1363.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22843",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22843",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1609.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22843",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22843",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 211.983,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22843",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22843",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 273.675,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1003.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1107.01,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1141.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1455.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.905,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 188.191,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 194.072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.476,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22845",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 899.444,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22846",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1009.13,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22846",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1261.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22846",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.553,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22846",
      "description": "INSERT SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 214.441,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22848",
      "description": "INSERT PELV FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 547.184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22848",
      "description": "INSERT PELV FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 598.483,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22848",
      "description": "INSERT PELV FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 93.0213,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22852",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22852",
      "description": "REMOVE SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 135.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22852",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22852",
      "description": "REMOVE SPINE FIXATION DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 676.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 319.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 343.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 356.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 368.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 392.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 405.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 429.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 510.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.2776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 58.4528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 60.5404,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.8032,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.8908,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22853",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22853",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.717,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22854",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22854",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22854",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22854",
      "description": "INSJ BIOMECHANICAL DEVICE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 660.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22856",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22856",
      "description": "Tot disc arthrp 1ntrspc crv",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1941.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22856",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22856",
      "description": "Tot disc arthrp 1ntrspc crv",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 3130.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22856",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22856",
      "description": "Tot disc arthrp 1ntrspc crv",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 532.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22903",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22903",
      "description": "EXC ABD LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 547.495,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "22999",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "22999",
      "description": "Unlisted px abdomen muscskel",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23 HOUR OBSERVATION (REV CODE 769)",
      "billing_code_type": "CSTM-ALL",
      "billing_code_type_version": "2026",
      "billing_code": "CSTM-00",
      "description": "23 HOUR OBSERVATION (REV CODE 769)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 505.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "23 HOUR OBSERVATION (REV CODE 769); Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092272
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23071",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23071",
      "description": "EXC SHOULDER LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 522.548,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23071",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23071",
      "description": "EXC SHOULDER LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.8332,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23076",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23076",
      "description": "EXC SHOULDER TUM DEEP \u003C 5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 858.627,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23120",
      "description": "CLAVICULECTOMY PARTIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 179.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23120",
      "description": "CLAVICULECTOMY PARTIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 897.648,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23120",
      "description": "CLAVICULECTOMY PARTIAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 925.699,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23350",
      "description": "INJECTION FOR SHOULDER X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23350",
      "description": "INJECTION FOR SHOULDER X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23350",
      "description": "INJECTION FOR SHOULDER X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 227.776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23350",
      "description": "INJECTION FOR SHOULDER X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 53.9235,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23350",
      "description": "INJECTION FOR SHOULDER X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.3015,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23350",
      "description": "INJECTION FOR SHOULDER X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.024,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23405",
      "description": "INCISION OF TENDON \u0026 MUSCLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 693.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23410",
      "description": "REPAIR ROTATOR CUFF ACUTE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1248.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23410",
      "description": "REPAIR ROTATOR CUFF ACUTE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1287.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23410",
      "description": "REPAIR ROTATOR CUFF ACUTE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 212.274,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23430",
      "description": "REPAIR BICEPS TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1133.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23430",
      "description": "REPAIR BICEPS TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 156.614,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23430",
      "description": "REPAIR BICEPS TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.756,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23430",
      "description": "REPAIR BICEPS TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2000.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23430",
      "description": "REPAIR BICEPS TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 921.258,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23440",
      "description": "REMOVE/TRANSPLANT TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1154,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23440",
      "description": "REMOVE/TRANSPLANT TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23462",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23462",
      "description": "REPAIR SHOULDER CAPSULE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1623.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1385.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1575.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1780.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1917.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2191.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 267.786,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2822.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 302.715,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 372.572,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23472",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23472",
      "description": "RECONSTRUCT SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 479.789,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23473",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23473",
      "description": "REVIS RECONST SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2514.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23473",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23473",
      "description": "REVIS RECONST SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 427.457,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23473",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23473",
      "description": "REVIS RECONST SHOULDER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 502.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 186.354,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.316,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 219.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 230.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 262.775,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 265.538,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 296.915,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 303.729,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 349.312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23500",
      "description": "Cltx clavicular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 357.328,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23515",
      "description": "Optx clavicular fx w/int fix",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1099.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23515",
      "description": "Optx clavicular fx w/int fix",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 982.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23545",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23545",
      "description": "Cltx acromclav dislc w/mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 424.521,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23545",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23545",
      "description": "Cltx acromclav dislc w/mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 471.866,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23570",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23570",
      "description": "Cltx scapular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 366.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23570",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23570",
      "description": "Cltx scapular fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 378.896,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23600",
      "description": "Cltx prox humrl fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 414.261,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23600",
      "description": "Cltx prox humrl fx w/o mnpj",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 436.144,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23700",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23700",
      "description": "Mnpj anes sho jt fixj aprats",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 214.785,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23930",
      "description": "I\u0026d upr a/e dp absc/hmtma",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 228.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "23930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "23930",
      "description": "I\u0026d upr a/e dp absc/hmtma",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 339.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24071",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24071",
      "description": "EXC ARM/ELBOW LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 445.947,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24075",
      "description": "EXC ARM/ELBOW LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 361.997,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24075",
      "description": "EXC ARM/ELBOW LES SC \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 556.508,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24105",
      "description": "Excision olecranon bursa",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 568.788,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24342",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24342",
      "description": "REPAIR OF RUPTURED TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1181.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24342",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24342",
      "description": "REPAIR OF RUPTURED TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.158,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092763
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24342",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24342",
      "description": "REPAIR OF RUPTURED TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 922.837,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24342",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24342",
      "description": "REPAIR OF RUPTURED TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 959.751,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24342",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24342",
      "description": "REPAIR OF RUPTURED TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 962.525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24345",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24345",
      "description": "REPR ELBW MED LIGMNT W/TISSU",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1084.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24346",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24346",
      "description": "RECONSTRUCT ELBOW MED LIGMNT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1682.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24358",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24358",
      "description": "REPAIR ELBOW W/DEB OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 660.504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24358",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24358",
      "description": "REPAIR ELBOW W/DEB OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 812.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24359",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24359",
      "description": "REPAIR ELBOW DEB/ATTCH OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1014.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24359",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24359",
      "description": "REPAIR ELBOW DEB/ATTCH OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1046.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24359",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24359",
      "description": "REPAIR ELBOW DEB/ATTCH OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1188.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24505",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24505",
      "description": "CLTX HUMRL SHFT FX W/MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 566.722,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24505",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24505",
      "description": "CLTX HUMRL SHFT FX W/MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 630.695,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24515",
      "description": "OPTX HUMRL SHFT FX PLATE/SCR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1089.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24515",
      "description": "OPTX HUMRL SHFT FX PLATE/SCR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.255,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24516",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24516",
      "description": "TX HUMRL SHAFT FX IMED IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1599.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24545",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24545",
      "description": "OPTX HUM FX WO NTRCNDYLR XTN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1669.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24560",
      "description": "CLTX HUM EPCNDYLR FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 285.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24560",
      "description": "CLTX HUM EPCNDYLR FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 297.01,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24640",
      "description": "CLTX RDL HEAD SUBLXTJ NRSEMD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092817
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24640",
      "description": "CLTX RDL HEAD SUBLXTJ NRSEMD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.765,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24640",
      "description": "CLTX RDL HEAD SUBLXTJ NRSEMD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.246,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092763
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24640",
      "description": "CLTX RDL HEAD SUBLXTJ NRSEMD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 130.764,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092817
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24640",
      "description": "CLTX RDL HEAD SUBLXTJ NRSEMD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.774,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24640",
      "description": "CLTX RDL HEAD SUBLXTJ NRSEMD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.1457,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092763
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24650",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24650",
      "description": "CLTX RDL HEAD/NCK FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 384.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24650",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24650",
      "description": "CLTX RDL HEAD/NCK FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 411.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24685",
      "description": "OPTX ULNAR FX PROX END W/FIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.661,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24685",
      "description": "OPTX ULNAR FX PROX END W/FIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 727.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "24685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "24685",
      "description": "OPTX ULNAR FX PROX END W/FIX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 998.544,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25000",
      "description": "INCISION OF TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1500.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25000",
      "description": "INCISION OF TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 430.014,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25000",
      "description": "INCISION OF TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 545.787,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25000",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25000",
      "description": "INCISION OF TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 613.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25035",
      "description": "INC DP BONE CRTX F/ARM\u0026/WRST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 761.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25076",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25076",
      "description": "EXC FOREARM TUM DEEP \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 794.096,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25111",
      "description": "REMOVE WRIST TENDON LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 358.984,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25111",
      "description": "REMOVE WRIST TENDON LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 421.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25111",
      "description": "REMOVE WRIST TENDON LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 556.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25115",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25115",
      "description": "REMOVE WRIST/FOREARM LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1158.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25118",
      "description": "EXCISE WRIST TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 588.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25260",
      "description": "REPAIR FOREARM TENDON/MUSCLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 881.121,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25260",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25260",
      "description": "REPAIR FOREARM TENDON/MUSCLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 972.272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25295",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25295",
      "description": "RELEASE WRIST/FOREARM TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 833.217,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25320",
      "description": "REPAIR/REVISE WRIST JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1417.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25320",
      "description": "REPAIR/REVISE WRIST JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1509.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25320",
      "description": "REPAIR/REVISE WRIST JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1729.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25320",
      "description": "REPAIR/REVISE WRIST JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 256.692,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25405",
      "description": "REPAIR/GRAFT RADIUS OR ULNA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2033.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25430",
      "description": "VASC GRAFT INTO CARPAL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1119.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25440",
      "description": "REPAIR NONU SCPHD CARPL B1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1174.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25440",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25440",
      "description": "REPAIR NONU SCPHD CARPL B1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 199.689,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25447",
      "description": "ARTHRP NTRCRP/CRP/MTCR NTRPS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1219.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25447",
      "description": "ARTHRP NTRCRP/CRP/MTCR NTRPS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1257.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25447",
      "description": "ARTHRP NTRCRP/CRP/MTCR NTRPS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1482.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25447",
      "description": "ARTHRP NTRCRP/CRP/MTCR NTRPS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 207.351,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25447",
      "description": "ARTHRP NTRCRP/CRP/MTCR NTRPS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 251.566,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25448",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25448",
      "description": "ARTHRP NTRCRPL/CRP/MTCRP SSP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1095.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25448",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25448",
      "description": "ARTHRP NTRCRPL/CRP/MTCRP SSP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 186.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25500",
      "description": "CLTX RDL SHFT FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 402.688,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25500",
      "description": "CLTX RDL SHFT FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 442.768,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25560",
      "description": "CLTX RDL\u0026ULN SHFT FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 208.565,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25560",
      "description": "CLTX RDL\u0026ULN SHFT FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 217.898,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25560",
      "description": "CLTX RDL\u0026ULN SHFT FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 328.731,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25560",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25560",
      "description": "CLTX RDL\u0026ULN SHFT FX WO MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 366.275,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25575",
      "description": "OPTX RDL\u0026ULN SHFT FX RDS\u0026ULN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1121.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25575",
      "description": "OPTX RDL\u0026ULN SHFT FX RDS\u0026ULN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 190.599,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25575",
      "description": "OPTX RDL\u0026ULN SHFT FX RDS\u0026ULN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 952.996,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 226.474,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 236.257,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546,
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 266.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 277.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 347.567,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 361.887,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 408.902,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 425.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 427.774,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 445.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 503.264,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25600",
      "description": "CLTX DST RDL FX/EPHYS SEP WO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 524,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25605",
      "description": "CLTX DST RDL FX/EPHYS SEP W/",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 545.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25605",
      "description": "CLTX DST RDL FX/EPHYS SEP W/",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 604.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25605",
      "description": "CLTX DST RDL FX/EPHYS SEP W/",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 606.908,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25605",
      "description": "CLTX DST RDL FX/EPHYS SEP W/",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 640.146,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25605",
      "description": "CLTX DST RDL FX/EPHYS SEP W/",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 641.775,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092612
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25605",
      "description": "CLTX DST RDL FX/EPHYS SEP W/",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 676.923,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25607",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25607",
      "description": "OPTX DST RD XARTC FX/EPI SEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1134.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25607",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25607",
      "description": "OPTX DST RD XARTC FX/EPI SEP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.824,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25609",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25609",
      "description": "OPTX DST RD XART FX/EP SEP3\u002B",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1354.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25609",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25609",
      "description": "OPTX DST RD XART FX/EP SEP3\u002B",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1605.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25609",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25609",
      "description": "OPTX DST RD XART FX/EP SEP3\u002B",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1655.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25609",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25609",
      "description": "OPTX DST RD XART FX/EP SEP3\u002B",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 272.955,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25609",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25609",
      "description": "OPTX DST RD XART FX/EP SEP3\u002B",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 959.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25628",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25628",
      "description": "OPTX CARPL SCPHD FX INT FIXJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1100.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25630",
      "description": "CLTX CARPL FX W/O MNPJ EA B1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 457.776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25630",
      "description": "CLTX CARPL FX W/O MNPJ EA B1",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 490.842,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "25670",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "25670",
      "description": "OPTX RDCRPL/NTRCRPL DISLC 1\u002B",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1105.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26010",
      "description": "DRAINAGE OF FINGER ABSCESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 231.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26010",
      "description": "DRAINAGE OF FINGER ABSCESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 422.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26011",
      "description": "DRAINAGE OF FINGER ABSCESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 289.542,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26011",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26011",
      "description": "DRAINAGE OF FINGER ABSCESS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 696.019,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26020",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26020",
      "description": "DRAIN HAND TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 876.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26030",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26030",
      "description": "DRAINAGE OF PALM BURSAS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 776.424,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1100.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092795
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 312.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 321.402,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 349.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 363.324,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 405.246,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 447.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 461.142,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 512.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 609.787,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 660.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 662.813,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 689.325,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 768.862,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 848.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 874.912,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 900.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26055",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26055",
      "description": "INCISE FINGER TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 940.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26111",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26111",
      "description": "EXC HAND LES SC 1.5 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 497.912,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26115",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26115",
      "description": "EXC HAND LES SC \u003C 1.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 430.272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26115",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26115",
      "description": "EXC HAND LES SC \u003C 1.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 509.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26115",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26115",
      "description": "EXC HAND LES SC \u003C 1.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 677.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26115",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26115",
      "description": "EXC HAND LES SC \u003C 1.5 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 803.216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26121",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26121",
      "description": "RELEASE PALM CONTRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1169.63,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2600.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092782
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 339.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 439.118,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 499.686,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 801.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 804.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26160",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26160",
      "description": "REMOVE TENDON SHEATH LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 915.899,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26180",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26180",
      "description": "REMOVAL OF FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 691.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26210",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26210",
      "description": "REMOVAL OF FINGER LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 687.056,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26236",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26236",
      "description": "PARTIAL REMOVAL FINGER BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 550.914,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26320",
      "description": "REMOVAL OF IMPLANT FROM HAND",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 435.708,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26320",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26320",
      "description": "REMOVAL OF IMPLANT FROM HAND",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26350",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26350",
      "description": "REPAIR FINGER/HAND TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1238.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26352",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26352",
      "description": "REPAIR/GRAFT HAND TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1231.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26410",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26410",
      "description": "REPAIR HAND TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 635.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26418",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26418",
      "description": "REPAIR FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2000.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26418",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26418",
      "description": "REPAIR FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 744.679,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26418",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26418",
      "description": "REPAIR FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 746.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26418",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26418",
      "description": "REPAIR FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 759.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092412
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26418",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26418",
      "description": "REPAIR FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 916.528,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26432",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26432",
      "description": "REPAIR FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 860.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26442",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26442",
      "description": "RELEASE PALM \u0026 FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1474.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26445",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26445",
      "description": "RELEASE HAND/FINGER TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1000.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26520",
      "description": "RELEASE KNUCKLE CONTRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1131.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26525",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26525",
      "description": "RELEASE FINGER CONTRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 912.891,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26540",
      "description": "REPAIR HAND JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1039.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26540",
      "description": "REPAIR HAND JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2000.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26540",
      "description": "REPAIR HAND JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 844.389,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 236.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.394,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 322.715,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 348.862,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 365.063,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 379.562,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 397.188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 424.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 457,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 460.498,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26600",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 481.882,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26615",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26615",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 909.298,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26615",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26615",
      "description": "TREAT METACARPAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 970.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 230.912,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 245.275,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 249.386,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 251.233,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 264.897,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 266.859,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 266.935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 283.538,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 292.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 295.568,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 304.804,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 313.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 318.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26720",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26720",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 323.763,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26725",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 309.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26725",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 332.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26727",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26727",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 749.628,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26735",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26735",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 910.608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26746",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26746",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1133.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26750",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26750",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 205.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26750",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 230.362,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26750",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 232.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26750",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 294.864,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26750",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 298.176,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26765",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26765",
      "description": "TREAT FINGER FRACTURE EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1169.63,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26860",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26860",
      "description": "FUSION OF FINGER JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 903.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26951",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26951",
      "description": "AMPUTATION OF FINGER/THUMB",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1072.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "26951",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "26951",
      "description": "AMPUTATION OF FINGER/THUMB",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 880.578,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27062",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27062",
      "description": "REMOVE FEMUR LESION/BURSA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 494.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27093",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27093",
      "description": "INJECTION FOR HIP X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 102.704,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27093",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27093",
      "description": "INJECTION FOR HIP X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 252.262,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27093",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27093",
      "description": "INJECTION FOR HIP X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 322.896,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27093",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27093",
      "description": "INJECTION FOR HIP X-RAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 80.2375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092418
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.854,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.632,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 129.558,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.336,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 164.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 209.762,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092418
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 217.254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 239.728,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.694,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27096",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27096",
      "description": "INJECT SACROILIAC JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.63,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1585.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1646.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463,
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1950.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2011.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2072.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092455
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2313.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2708.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 317.031,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 331.663,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 338.598,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 402.385,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27130",
      "description": "TOTAL HIP ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 460.377,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27216",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27216",
      "description": "TREAT PELVIC RING FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2003.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27236",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27236",
      "description": "TREAT THIGH FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1359.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092511
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27245",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27245",
      "description": "TREAT THIGH FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1863.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27245",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27245",
      "description": "TREAT THIGH FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2383.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27279",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27279",
      "description": "ARTHRD SI JT PLMT TARTCLR DV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1223.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27279",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27279",
      "description": "ARTHRD SI JT PLMT TARTCLR DV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 207.949,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27279",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27279",
      "description": "ARTHRD SI JT PLMT TARTCLR DV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 993.876,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27280",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27280",
      "description": "Arthr si jt opn b1grf instrm",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1911.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27280",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27280",
      "description": "Arthr si jt opn b1grf instrm",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 324.957,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27299",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27299",
      "description": "Unlisted px pelvis/hip joint",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092509,
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27301",
      "description": "DRAIN THIGH/KNEE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1002.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27301",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27301",
      "description": "DRAIN THIGH/KNEE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 776.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27305",
      "description": "INCISE THIGH TENDON \u0026 FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.849,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27305",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27305",
      "description": "INCISE THIGH TENDON \u0026 FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 740.288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27306",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27306",
      "description": "INCISION OF THIGH TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 474.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092502
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27337",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27337",
      "description": "EXC THIGH/KNEE LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 425.855,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27337",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27337",
      "description": "EXC THIGH/KNEE LES SC 3 CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.3954,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27340",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27340",
      "description": "REMOVAL OF KNEECAP BURSA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 574.608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27347",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27347",
      "description": "REMOVE KNEE CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 137.365,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27347",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27347",
      "description": "REMOVE KNEE CYST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 808.032,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27360",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27360",
      "description": "PARTIAL REMOVAL LEG BONE(S)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1553.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27380",
      "description": "REPAIR OF KNEECAP TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1030.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27380",
      "description": "REPAIR OF KNEECAP TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 175.111,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27380",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27380",
      "description": "REPAIR OF KNEECAP TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 729.775,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27385",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27385",
      "description": "REPAIR OF THIGH MUSCLE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 917.056,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27390",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27390",
      "description": "INCISION OF THIGH TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 401.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092412
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27390",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27390",
      "description": "INCISION OF THIGH TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 512.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27390",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27390",
      "description": "INCISION OF THIGH TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.1794,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27403",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27403",
      "description": "REPAIR OF KNEE CARTILAGE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1173.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27405",
      "description": "REPAIR OF KNEE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.096,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27405",
      "description": "REPAIR OF KNEE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 741.738,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27422",
      "description": "REVISION OF UNSTABLE KNEECAP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1135.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27422",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27422",
      "description": "REVISION OF UNSTABLE KNEECAP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.033,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27427",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27427",
      "description": "RECONSTRUCTION KNEE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1080.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27427",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27427",
      "description": "RECONSTRUCTION KNEE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 183.695,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27427",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27427",
      "description": "RECONSTRUCTION KNEE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 979.258,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27428",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27428",
      "description": "RECONSTRUCTION KNEE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1914.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27446",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27446",
      "description": "REVISION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1744.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27446",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27446",
      "description": "REVISION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1799.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27446",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27446",
      "description": "REVISION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2094.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27446",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27446",
      "description": "REVISION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 348.976,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27446",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27446",
      "description": "REVISION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 356.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27446",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27446",
      "description": "REVISION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 359.882,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1400.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1522.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1583.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1644.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1704.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1801.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1922.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1948.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2009.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 238.086,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092540,
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 258.789,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548,
            1092841
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 279.492,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092544,
            1092593
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 280.101,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 289.844,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2900.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 331.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 360.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            },
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 360.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 360.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            },
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 360.218,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 401.884,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27447",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27447",
      "description": "TOTAL KNEE ARTHROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 493.161,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27486",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27486",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1533.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27486",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27486",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2132.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27486",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27486",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 260.619,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27486",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27486",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 362.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27487",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27487",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2326.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27487",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27487",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2658.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27487",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27487",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2741.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27487",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27487",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 395.463,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27487",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27487",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 422.948,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27487",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27487",
      "description": "REVISE/REPLACE KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 466.082,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27508",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27508",
      "description": "TREATMENT OF THIGH FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 765.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27508",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27508",
      "description": "TREATMENT OF THIGH FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 807.328,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27514",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27514",
      "description": "TREATMENT OF THIGH FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1468.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27520",
      "description": "TREAT KNEECAP FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 481.717,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27520",
      "description": "TREAT KNEECAP FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 520.13,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27530",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27530",
      "description": "TREAT KNEE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 363.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27530",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27530",
      "description": "TREAT KNEE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 386.087,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27530",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27530",
      "description": "TREAT KNEE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 447.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27530",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27530",
      "description": "TREAT KNEE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 475.184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27535",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27535",
      "description": "TREAT KNEE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1692.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27536",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27536",
      "description": "TREAT KNEE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1580.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092505
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27570",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27570",
      "description": "FIXATION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.734,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27570",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27570",
      "description": "FIXATION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 235.536,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27570",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27570",
      "description": "FIXATION OF KNEE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 265.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27603",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27603",
      "description": "DRAIN LOWER LEG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 701.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27603",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27603",
      "description": "DRAIN LOWER LEG LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 910.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27607",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27607",
      "description": "TREAT LOWER LEG BONE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1128.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27607",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27607",
      "description": "TREAT LOWER LEG BONE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1232.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27607",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27607",
      "description": "TREAT LOWER LEG BONE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 910.016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27612",
      "description": "EXPLORATION OF ANKLE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 175.062,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27612",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27612",
      "description": "EXPLORATION OF ANKLE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 875.312,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27618",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27618",
      "description": "EXC LEG/ANKLE TUM \u003C 3 CM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27630",
      "description": "REMOVAL OF TENDON LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 615.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27630",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27630",
      "description": "REMOVAL OF TENDON LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 894.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27640",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27640",
      "description": "PARTIAL REMOVAL OF TIBIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1258.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27641",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27641",
      "description": "PARTIAL REMOVAL OF FIBULA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1000.03,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27650",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27650",
      "description": "REPAIR ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1001.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27650",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27650",
      "description": "REPAIR ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1033.21,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27650",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27650",
      "description": "REPAIR ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 754.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27652",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27652",
      "description": "REPAIR/GRAFT ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1379.11,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27654",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27654",
      "description": "REPAIR OF ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1092.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27654",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27654",
      "description": "REPAIR OF ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1341.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27654",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27654",
      "description": "REPAIR OF ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 218.464,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27654",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27654",
      "description": "REPAIR OF ACHILLES TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 819.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27658",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27658",
      "description": "REPAIR OF LEG TENDON EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.947,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27658",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27658",
      "description": "REPAIR OF LEG TENDON EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 564.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27659",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27659",
      "description": "REPAIR OF LEG TENDON EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1003.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092842
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27659",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27659",
      "description": "REPAIR OF LEG TENDON EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.308,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27659",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27659",
      "description": "REPAIR OF LEG TENDON EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 539.592,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27664",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27664",
      "description": "REPAIR OF LEG TENDON EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 559.977,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27675",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27675",
      "description": "REPAIR LOWER LEG TENDONS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.691,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27675",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27675",
      "description": "REPAIR LOWER LEG TENDONS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.402,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27675",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27675",
      "description": "REPAIR LOWER LEG TENDONS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 757.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27675",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27675",
      "description": "REPAIR LOWER LEG TENDONS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 780.664,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27676",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27676",
      "description": "REPAIR LOWER LEG TENDONS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 185.949,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27676",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27676",
      "description": "REPAIR LOWER LEG TENDONS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 929.744,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27680",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27680",
      "description": "RELEASE OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1147.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092842
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.652,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1500.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 575.874,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092456
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 708.768,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 786.188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092456
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 967.616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.8986,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27685",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27685",
      "description": "REVISION OF LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 977.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27687",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27687",
      "description": "REVISION OF CALF TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.659,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27687",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27687",
      "description": "REVISION OF CALF TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.422,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27687",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27687",
      "description": "REVISION OF CALF TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 519.084,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27687",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27687",
      "description": "REVISION OF CALF TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 578.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27687",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27687",
      "description": "REVISION OF CALF TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 692.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27687",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27687",
      "description": "REVISION OF CALF TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 856.37,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27691",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27691",
      "description": "REVISE LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1130.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27691",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27691",
      "description": "REVISE LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.258,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27691",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27691",
      "description": "REVISE LOWER LEG TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 226.186,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27695",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27695",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 667.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27695",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27695",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 740.352,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27695",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27695",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 763.488,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27698",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27698",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1003.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092842
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27698",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27698",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1227.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27698",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27698",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 165.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27698",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27698",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 194.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27698",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27698",
      "description": "REPAIR OF ANKLE LIGAMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 972,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27702",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27702",
      "description": "RECONSTRUCT ANKLE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1461.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27702",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27702",
      "description": "RECONSTRUCT ANKLE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 248.448,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27702",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27702",
      "description": "RECONSTRUCT ANKLE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 292.291,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27707",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27707",
      "description": "OSTEOTOMY FIBULA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 713,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27745",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27745",
      "description": "REINFORCE TIBIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1117.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27745",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27745",
      "description": "REINFORCE TIBIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 223.539,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27750",
      "description": "TREATMENT OF TIBIA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 320.35,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27750",
      "description": "TREATMENT OF TIBIA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 343.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27759",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27759",
      "description": "TREATMENT OF TIBIA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1233.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092456
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27759",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27759",
      "description": "TREATMENT OF TIBIA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1517.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27759",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27759",
      "description": "TREATMENT OF TIBIA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 209.649,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27767",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27767",
      "description": "CLTX POST ANKLE FX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 437.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27767",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27767",
      "description": "CLTX POST ANKLE FX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 439.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27781",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27781",
      "description": "TREATMENT OF FIBULA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 622.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27781",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27781",
      "description": "TREATMENT OF FIBULA FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 674.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27786",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27786",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 287.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092516,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27786",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27786",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 319.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092516,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27786",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27786",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 359.944,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27786",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27786",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 392.119,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27786",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27786",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 443.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27786",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27786",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 482.608,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27788",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27788",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 538.907,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27788",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27788",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 594.022,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27792",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27792",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1271.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27792",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27792",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 791.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27792",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27792",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 795.899,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092579,
            1092840
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27792",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27792",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 826.511,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092463
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27822",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27822",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1057.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27822",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27822",
      "description": "TREATMENT OF ANKLE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 932.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27824",
      "description": "TREAT LOWER LEG FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 784.612,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27824",
      "description": "TREAT LOWER LEG FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 808.833,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27827",
      "description": "TREAT LOWER LEG FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1500.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27827",
      "description": "TREAT LOWER LEG FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1692.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27829",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27829",
      "description": "TREAT LOWER LEG JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1064.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27829",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27829",
      "description": "TREAT LOWER LEG JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1176.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27829",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27829",
      "description": "TREAT LOWER LEG JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 653.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27829",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27829",
      "description": "TREAT LOWER LEG JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 795.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092426
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27842",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27842",
      "description": "TREAT ANKLE DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 612.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27870",
      "description": "FUSION OF ANKLE JOINT OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1531.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27870",
      "description": "FUSION OF ANKLE JOINT OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1783.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27870",
      "description": "FUSION OF ANKLE JOINT OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1952.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27870",
      "description": "FUSION OF ANKLE JOINT OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 260.337,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27870",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27870",
      "description": "FUSION OF ANKLE JOINT OPEN",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 306.278,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27880",
      "description": "AMPUTATION OF LOWER LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1720.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "27886",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "27886",
      "description": "AMPUTATION FOLLOW-UP SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1239.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28002",
      "description": "TREATMENT OF FOOT INFECTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 398.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28002",
      "description": "TREATMENT OF FOOT INFECTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 436.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28002",
      "description": "TREATMENT OF FOOT INFECTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 712.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28002",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28002",
      "description": "TREATMENT OF FOOT INFECTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 882.48,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28003",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28003",
      "description": "TREATMENT OF FOOT INFECTION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1091.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28005",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28005",
      "description": "TREAT FOOT BONE LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1103.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28008",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28008",
      "description": "INCISION OF FOOT FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 310.15,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28008",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28008",
      "description": "INCISION OF FOOT FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 472.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28010",
      "description": "INCISION OF TOE TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 395.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28010",
      "description": "INCISION OF TOE TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 419.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 412.992,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 447.408,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 586.968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 635.882,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092495
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 680.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 854.57,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28035",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28035",
      "description": "DECOMPRESSION OF TIBIA NERVE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 893.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28041",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28041",
      "description": "EXC FOOT/TOE TUM DEP 1.5CM/\u003E",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 683.952,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28060",
      "description": "PARTIAL REMOVAL FOOT FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 410.064,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28060",
      "description": "PARTIAL REMOVAL FOOT FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 546.752,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28060",
      "description": "PARTIAL REMOVAL FOOT FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 568.488,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28060",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28060",
      "description": "PARTIAL REMOVAL FOOT FASCIA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 757.984,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28070",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28070",
      "description": "REMOVAL OF FOOT JOINT LINING",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 526.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28070",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28070",
      "description": "REMOVAL OF FOOT JOINT LINING",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 749.168,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28080",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28080",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 374.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28080",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28080",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 430.13,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28080",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28080",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 577.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28080",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28080",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 643.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28080",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28080",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 787.184,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28080",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28080",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 834.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28086",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28086",
      "description": "EXCISE FOOT TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.472,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28086",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28086",
      "description": "EXCISE FOOT TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.77,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28086",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28086",
      "description": "EXCISE FOOT TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 527.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28086",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28086",
      "description": "EXCISE FOOT TENDON SHEATH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 758.848,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28090",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28090",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 323.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28090",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28090",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 469.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28090",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28090",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 469.6,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28090",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28090",
      "description": "REMOVAL OF FOOT LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 680.832,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28110",
      "description": "PART REMOVAL OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 336.468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28110",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28110",
      "description": "PART REMOVAL OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 507.264,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28118",
      "description": "REMOVAL OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 129.078,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28118",
      "description": "REMOVAL OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 178.678,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28118",
      "description": "REMOVAL OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 434.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28118",
      "description": "REMOVAL OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 586.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28118",
      "description": "REMOVAL OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 645.392,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28118",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28118",
      "description": "REMOVAL OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 893.392,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28119",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28119",
      "description": "REMOVAL OF HEEL SPUR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 693.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28119",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28119",
      "description": "REMOVAL OF HEEL SPUR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 896.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28120",
      "description": "PART REMOVAL OF ANKLE/HEEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1017.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28120",
      "description": "PART REMOVAL OF ANKLE/HEEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 563.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28120",
      "description": "PART REMOVAL OF ANKLE/HEEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 739.968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28120",
      "description": "PART REMOVAL OF ANKLE/HEEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 751.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28120",
      "description": "PART REMOVAL OF ANKLE/HEEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 774.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28120",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28120",
      "description": "PART REMOVAL OF ANKLE/HEEL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 986.624,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28122",
      "description": "PARTIAL REMOVAL OF FOOT BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.574,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28122",
      "description": "PARTIAL REMOVAL OF FOOT BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 174.784,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28122",
      "description": "PARTIAL REMOVAL OF FOOT BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 524.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28122",
      "description": "PARTIAL REMOVAL OF FOOT BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 667.872,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28122",
      "description": "PARTIAL REMOVAL OF FOOT BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 704.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28122",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28122",
      "description": "PARTIAL REMOVAL OF FOOT BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 873.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28124",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28124",
      "description": "PARTIAL REMOVAL OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 347.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28124",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28124",
      "description": "PARTIAL REMOVAL OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 538.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28130",
      "description": "REMOVAL OF ANKLE BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1040.24,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28190",
      "description": "REMOVAL OF FOOT FOREIGN BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28190",
      "description": "REMOVAL OF FOOT FOREIGN BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 150.048,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092597
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28190",
      "description": "REMOVAL OF FOOT FOREIGN BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 259.308,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092597
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28190",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28190",
      "description": "REMOVAL OF FOOT FOREIGN BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 305.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28200",
      "description": "REPAIR OF FOOT TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 496.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28200",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28200",
      "description": "REPAIR OF FOOT TENDON",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 723.04,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 336.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 423.913,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 503.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 571.665,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 589.792,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 610.31,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 795.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28285",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28285",
      "description": "REPAIR OF HAMMERTOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 796.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1008.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1039.65,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 140.525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.916,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 201.629,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 207.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 505.011,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 580.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 702.624,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 706.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 724.581,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28289",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28289",
      "description": "CORRJ HALUX RIGDUS W/O IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 724.603,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28291",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28291",
      "description": "CORRJ HALUX RIGDUS W/IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1373.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28291",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28291",
      "description": "CORRJ HALUX RIGDUS W/IMPLT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 916.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28292",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28292",
      "description": "COR HLX VLGS RSC PRX PHLX BS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1026.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28292",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28292",
      "description": "COR HLX VLGS RSC PRX PHLX BS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 739.504,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28295",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28295",
      "description": "COR HLX VLGS PRX MTAR OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1502.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28295",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28295",
      "description": "COR HLX VLGS PRX MTAR OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.254,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28295",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28295",
      "description": "COR HLX VLGS PRX MTAR OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 255.405,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28295",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28295",
      "description": "COR HLX VLGS PRX MTAR OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 907.376,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811,
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1032.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1285.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 156.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 256.691,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 552.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 563.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 773.77,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 922.484,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28296",
      "description": "COR HLX VLGS DSTL MTAR OSTEO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1159.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1451.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1472.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 181.824,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2600.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092782
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 294.509,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28297",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28297",
      "description": "COR HLX VLGS JT ARTHRD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 909.12,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28298",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28298",
      "description": "COR HLX VLGS PRX PHLX OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1210.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28298",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28298",
      "description": "COR HLX VLGS PRX PHLX OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 769.824,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28299",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28299",
      "description": "COR HLX VLGS DOUBLE OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1469.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28299",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28299",
      "description": "COR HLX VLGS DOUBLE OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 181.222,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28299",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28299",
      "description": "COR HLX VLGS DOUBLE OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 293.904,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28299",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28299",
      "description": "COR HLX VLGS DOUBLE OSTEOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 906.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28300",
      "description": "INCISION OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 168.635,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28300",
      "description": "INCISION OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.394,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28300",
      "description": "INCISION OF HEEL BONE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 991.968,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 117.798,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 167.117,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 423.338,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 500.643,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 588.992,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 600.576,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 710.246,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28308",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28308",
      "description": "INCISION OF METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 835.584,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28310",
      "description": "REVISION OF BIG TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 558.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28310",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28310",
      "description": "REVISION OF BIG TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 807.648,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28400",
      "description": "CLTX CALCANEAL FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 229.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28400",
      "description": "CLTX CALCANEAL FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.67,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28400",
      "description": "CLTX CALCANEAL FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 352.848,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28400",
      "description": "CLTX CALCANEAL FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 378.784,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28400",
      "description": "CLTX CALCANEAL FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 385.95,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28400",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28400",
      "description": "CLTX CALCANEAL FX W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 417.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28415",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28415",
      "description": "OPTX CALCANEAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1696.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28415",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28415",
      "description": "OPTX CALCANEAL FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 288.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28430",
      "description": "CLTX TALUS FRACTURE W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 275.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28430",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28430",
      "description": "CLTX TALUS FRACTURE W/O MNPJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 311.998,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28450",
      "description": "TX TARSAL B1 FX W/O MNPJ EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 266.438,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28450",
      "description": "TX TARSAL B1 FX W/O MNPJ EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 292.929,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28450",
      "description": "TX TARSAL B1 FX W/O MNPJ EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 294,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28450",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28450",
      "description": "TX TARSAL B1 FX W/O MNPJ EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 323.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 164.594,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 208.707,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 214.251,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 220.596,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 235.314,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092804
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 245.538,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 250.448,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092870
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 259.525,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 264.715,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092870
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 284.824,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 294.645,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 301.049,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 311.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 314.288,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28470",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28470",
      "description": "CLTX METATARSAL FX WO MNP EA",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 332.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28485",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28485",
      "description": "OPTX METATARSAL FX EACH",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 965.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.791,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 148.973,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 173.125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.696,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 202.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 229.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 317.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28490",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28490",
      "description": "TREAT BIG TOE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 358.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28531",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28531",
      "description": "TREAT SESAMOID BONE FRACTURE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2600.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092782
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28605",
      "description": "TREAT FOOT DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 471.616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28605",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28605",
      "description": "TREAT FOOT DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 525.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28606",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28606",
      "description": "TREAT FOOT DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 608.928,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28615",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28615",
      "description": "REPAIR FOOT DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1251.42,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28615",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28615",
      "description": "REPAIR FOOT DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 212.742,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28615",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28615",
      "description": "REPAIR FOOT DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 250.285,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28645",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28645",
      "description": "REPAIR TOE DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 740.192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28645",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28645",
      "description": "REPAIR TOE DISLOCATION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 961.792,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28725",
      "description": "ARTHRODESIS SUBTALAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1181.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28725",
      "description": "ARTHRODESIS SUBTALAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1455.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28725",
      "description": "ARTHRODESIS SUBTALAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1509.61,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28725",
      "description": "ARTHRODESIS SUBTALAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 200.929,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28725",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28725",
      "description": "ARTHRODESIS SUBTALAR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 902.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28730",
      "description": "FUSION OF FOOT BONES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1100.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28730",
      "description": "FUSION OF FOOT BONES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1566.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28730",
      "description": "FUSION OF FOOT BONES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.049,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28730",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28730",
      "description": "FUSION OF FOOT BONES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 220.058,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28750",
      "description": "FUSION OF BIG TOE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1112.51,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28750",
      "description": "FUSION OF BIG TOE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1146.58,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28750",
      "description": "FUSION OF BIG TOE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1436.36,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28750",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28750",
      "description": "FUSION OF BIG TOE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 871.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28755",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28755",
      "description": "FUSION OF BIG TOE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 511.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28755",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28755",
      "description": "FUSION OF BIG TOE JOINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 742.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28810",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28810",
      "description": "AMPUTATION TOE \u0026 METATARSAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 519.246,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28820",
      "description": "AMPUTATION OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 219.375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28820",
      "description": "AMPUTATION OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 353.067,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28820",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28820",
      "description": "AMPUTATION OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 837.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28825",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28825",
      "description": "PARTIAL AMPUTATION OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 429.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28825",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28825",
      "description": "PARTIAL AMPUTATION OF TOE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 523.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28899",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28899",
      "description": "Unlisted px foot/toes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "28899",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "28899",
      "description": "Unlisted px foot/toes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29010",
      "description": "APPL RISSER JACKET BODY ONLY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.07,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29010",
      "description": "APPL RISSER JACKET BODY ONLY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 194.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29010",
      "description": "APPL RISSER JACKET BODY ONLY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.214,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29010",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29010",
      "description": "APPL RISSER JACKET BODY ONLY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 38.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "82"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29065",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29065",
      "description": "APPL CST SHO TO HAND LNG ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.088,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29065",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29065",
      "description": "APPL CST SHO TO HAND LNG ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 112.753,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29065",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29065",
      "description": "APPL CST SHO TO HAND LNG ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.408,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29065",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29065",
      "description": "APPL CST SHO TO HAND LNG ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 161.227,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29065",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29065",
      "description": "APPL CST SHO TO HAND LNG ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29065",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29065",
      "description": "APPL CST SHO TO HAND LNG ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.044,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 111.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.077,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.207,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.339,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 134.208,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 149.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 64.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 65.9906,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.678,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 76.6445,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092767
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.636,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.2192,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 86.2954,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.6874,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.979,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.552,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29075",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29075",
      "description": "APPL CST ELBW FNGR SHORT ARM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.462,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29105",
      "description": "APPLICATION LONG ARM SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 105.138,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29105",
      "description": "APPLICATION LONG ARM SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.7355,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29105",
      "description": "APPLICATION LONG ARM SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29105",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29105",
      "description": "APPLICATION LONG ARM SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.4705,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 119.795,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092392
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 145.015,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092258
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.873,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092392
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 43.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092247,
            1092333,
            1092706,
            1092788
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092600
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 47.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 49.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 51.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092247,
            1092333,
            1092706,
            1092788
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.9906,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.5075,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.0295,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092600
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.8125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.965,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 85.748,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092258
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29125",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29125",
      "description": "APPL SHORT ARM SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 91.1072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092839
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.1,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092333
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.607,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092333
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 45.1935,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.078,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 54.02,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 66.099,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29130",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29130",
      "description": "APPL FINGER SPLINT STATIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 70.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29280",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29280",
      "description": "STRAPPING OF HAND OR FINGER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 20.537,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29280",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29280",
      "description": "STRAPPING OF HAND OR FINGER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 24.271,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29280",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29280",
      "description": "STRAPPING OF HAND OR FINGER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.261,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29280",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29280",
      "description": "STRAPPING OF HAND OR FINGER",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.763,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29345",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29345",
      "description": "APPLICATION OF LONG LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 103.969,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29345",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29345",
      "description": "APPLICATION OF LONG LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.317,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29345",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29345",
      "description": "APPLICATION OF LONG LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.39,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29345",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29345",
      "description": "APPLICATION OF LONG LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 167.518,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 104.026,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 122.384,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 127.92,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.3938,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.228,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092456
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.5616,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.5214,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.896,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29405",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29405",
      "description": "APPL SHORT LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 99.437,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092456
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29425",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29425",
      "description": "APPL SHORT LEG CAST WALKING",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 114.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29425",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29425",
      "description": "APPL SHORT LEG CAST WALKING",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 82.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29445",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29445",
      "description": "APPL RIGID TOT CNTC LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 148.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29445",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29445",
      "description": "APPL RIGID TOT CNTC LEG CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.736,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.672,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 131.423,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 157.235,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092392
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 222.982,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092392
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.3306,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 56.844,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.581,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 73.4931,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.792,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.004,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.921,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29515",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29515",
      "description": "APPLICATION SHORT LEG SPLINT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.003,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092751
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 18.216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 19.044,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 19.872,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 22.5216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 24.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 26.496,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 28.919,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092669
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.2335,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.548,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.7544,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 42.064,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.09,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 62.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29540",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29540",
      "description": "STRAPPING ANKLE \u0026/FOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29550",
      "description": "STRAPPING OF TOES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 13.676,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29550",
      "description": "STRAPPING OF TOES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 16.832,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29550",
      "description": "STRAPPING OF TOES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 23.634,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29550",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29550",
      "description": "STRAPPING OF TOES",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 29.088,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 27.404,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 29.76,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 39.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 63.5485,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.012,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 89.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092396
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29580",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29580",
      "description": "STRAPPING UNNA BOOT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 92.016,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29581",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29581",
      "description": "APPL MULTLAYER CMPRN SYS LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 125.888,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29581",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29581",
      "description": "APPL MULTLAYER CMPRN SYS LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 30.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29581",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29581",
      "description": "APPL MULTLAYER CMPRN SYS LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 34.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29581",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29581",
      "description": "APPL MULTLAYER CMPRN SYS LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 40.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29581",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29581",
      "description": "APPL MULTLAYER CMPRN SYS LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.3122,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29581",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29581",
      "description": "APPL MULTLAYER CMPRN SYS LEG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092814
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29700",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29700",
      "description": "RMVL/BIVLV GAUNTLET BOOT/CST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 50.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29700",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29700",
      "description": "RMVL/BIVLV GAUNTLET BOOT/CST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 98.032,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29740",
      "description": "WEDGING OF CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 68.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29740",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29740",
      "description": "WEDGING OF CAST",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 83.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29806",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29806",
      "description": "SHO ARTHRS SRG CAPSULORRAPHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1147.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092842
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29806",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29806",
      "description": "SHO ARTHRS SRG CAPSULORRAPHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1417.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29806",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29806",
      "description": "SHO ARTHRS SRG CAPSULORRAPHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1607.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29806",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29806",
      "description": "SHO ARTHRS SRG CAPSULORRAPHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1657.97,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29806",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29806",
      "description": "SHO ARTHRS SRG CAPSULORRAPHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29819",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29819",
      "description": "SHO ARTHRS SRG RMVL LOOSE/FB",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 894.272,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29822",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29822",
      "description": "SHO ARTHRS SRG LMTD DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 826.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29822",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29822",
      "description": "SHO ARTHRS SRG LMTD DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 852.472,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 110.364,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1417.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 153.549,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.646,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 622.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 649.198,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 762.102,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 903.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 931.458,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29823",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29823",
      "description": "SHO ARTHRS SRG XTNSV DBRDMT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1031.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1064.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1223.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.074,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1594.26,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1613.25,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 165.089,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092580
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 175.407,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.889,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 206.362,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 207.98,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 212.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 741.612,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29824",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29824",
      "description": "SHO ARTHRS SRG DSTL CLAVICLC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 967.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29825",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29825",
      "description": "SHO ARTHRS SRG LSS\u0026RESCJ ADS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.097,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29825",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29825",
      "description": "SHO ARTHRS SRG LSS\u0026RESCJ ADS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 894.688,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29825",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29825",
      "description": "SHO ARTHRS SRG LSS\u0026RESCJ ADS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 922.647,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1049.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1234.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1417.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 187.128,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 190.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 211.536,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 244.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 260.352,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 268.488,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 31.8118,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 35.9611,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548,
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 41.6563,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092580
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 44.2598,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 52.0704,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29826",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29826",
      "description": "SHO ARTHRS SRG DECOMPRESSION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1165.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1317.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1594.26,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1613.25,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1621.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1672.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.169,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2027.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2100.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 224.017,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092548,
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 275.713,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 324.368,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 334.505,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29827",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29827",
      "description": "SHO ARTHRS SRG RT8TR CUF RPR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 344.678,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1000.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1131.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1392.22,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1435.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1693.87,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 170.112,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 192.301,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 236.678,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 278.445,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29828",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29828",
      "description": "SHO ARTHRS SRG BICP TENODSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 287.958,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29845",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29845",
      "description": "WRIST ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 895.264,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29846",
      "description": "WRIST ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1500.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29846",
      "description": "WRIST ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 649.545,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092759
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29846",
      "description": "WRIST ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 799.44,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29846",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29846",
      "description": "WRIST ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 824.422,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29848",
      "description": "WRIST ENDOSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2016.23,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29848",
      "description": "WRIST ENDOSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2100.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29848",
      "description": "WRIST ENDOSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 563.765,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29848",
      "description": "WRIST ENDOSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 612.788,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29848",
      "description": "WRIST ENDOSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 637.299,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29848",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29848",
      "description": "WRIST ENDOSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 784.368,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29855",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29855",
      "description": "TIBIAL ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1226.54,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29861",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29861",
      "description": "HIP ARTHRO W/FB REMOVAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1159.83,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29861",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29861",
      "description": "HIP ARTHRO W/FB REMOVAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 197.171,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29862",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29862",
      "description": "HIP ARTHR0 W/DEBRIDEMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1350.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29862",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29862",
      "description": "HIP ARTHR0 W/DEBRIDEMENT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 229.527,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29868",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29868",
      "description": "MENISCAL TRNSPL KNEE W/SCPE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2137.41,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29875",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29875",
      "description": "ARTHRS KNEE SURG SYNVCT LMTD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 477.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29875",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29875",
      "description": "ARTHRS KNEE SURG SYNVCT LMTD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 759.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092412
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29875",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29875",
      "description": "ARTHRS KNEE SURG SYNVCT LMTD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 781.985,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29876",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29876",
      "description": "ARTHRS KNEE SURG SYNVCT MAJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1186.38,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29876",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29876",
      "description": "ARTHRS KNEE SURG SYNVCT MAJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 716.174,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29876",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29876",
      "description": "ARTHRS KNEE SURG SYNVCT MAJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 934.14,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092433
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29876",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29876",
      "description": "ARTHRS KNEE SURG SYNVCT MAJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 996.416,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29877",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29877",
      "description": "ARTHRS KNEE SURG DBRDMT/SHVG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 769.626,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29877",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29877",
      "description": "ARTHRS KNEE SURG DBRDMT/SHVG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 947.232,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29877",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29877",
      "description": "ARTHRS KNEE SURG DBRDMT/SHVG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 976.833,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29879",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29879",
      "description": "ARTHRS KNE SRG ABRASJ ARTHRP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1009.89,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29879",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29879",
      "description": "ARTHRS KNE SRG ABRASJ ARTHRP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1187.91,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29879",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29879",
      "description": "ARTHRS KNE SRG ABRASJ ARTHRP",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 819.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1169.63,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1255.73,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2870.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092795
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 706.85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 792.99,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 857.104,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 883.889,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29880",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29880",
      "description": "ARTHRS KNE SRG MNISECTMY M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 964.242,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092784
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1168.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1169.63,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1417.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092842
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1817.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092693
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2000.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 593.481,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 670.891,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 678.86,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 696.695,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 748.302,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 825.712,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 828.45,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 851.516,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29881",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29881",
      "description": "ARTHRS KNE SRG MNISECTMY M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 970.776,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1049.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1082.71,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1237.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092660
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1268.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1500.00,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092450
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 853.047,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 864.82,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29882",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29882",
      "description": "ARTHRS KNE SRG MNISC RPR M/L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 951.476,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29883",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29883",
      "description": "ARTHRS KNE SRG MNISC RPR M\u0026L",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1277.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29887",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29887",
      "description": "ARTHRS KNEE SRG DRLG OD FIXJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1150.53,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29887",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29887",
      "description": "ARTHRS KNEE SRG DRLG OD FIXJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1062.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1201.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1247.64,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092480
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1256.88,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1340.06,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1478.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1524.9,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 180.677,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092563
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1849.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 204.244,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 251.377,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 304.979,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 314.435,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29888",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29888",
      "description": "ARTHRS AID ACL RPR/AGMNTJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29891",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29891",
      "description": "ARTHR ANK OSTCHN DF TAL\u0026/TIB",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1026.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29893",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29893",
      "description": "ENDOSCOPIC PLANTR FASCIOTOMY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1026.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29893",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29893",
      "description": "ENDOSCOPIC PLANTR FASCIOTOMY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 788.33,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29895",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29895",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 722.155,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29897",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29897",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 154.777,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29897",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29897",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 773.883,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29898",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29898",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1147.50,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092842
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29898",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29898",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 144.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29898",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29898",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 170.541,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "80"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29898",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29898",
      "description": "ANKLE ARTHROSCOPY/SURGERY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 852.704,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1182.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1513.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1655.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 201.012,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2066.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 257.296,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29914",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29914",
      "description": "HIP ARTHRO W/FEMOROPLASTY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 281.417,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1206.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092568
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1544.69,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1689.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 205.154,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092569
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2105.01,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 262.597,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092812
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29916",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29916",
      "description": "HIP ARTHRO W/LABRAL REPAIR",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 287.215,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "billing_code_modifier": [
                "AS"
              ],
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "29999",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "29999",
      "description": "Unlisted px arthroscopy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3008F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3008F",
      "description": "BODY MASS INDEX DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092816
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3008F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3008F",
      "description": "BODY MASS INDEX DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092601,
            1092602,
            1092603,
            1092605,
            1092634,
            1092741,
            1092834,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3008F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3008F",
      "description": "BODY MASS INDEX DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092257,
            1092403,
            1092430,
            1092431,
            1092444,
            1092475,
            1092486,
            1092487,
            1092509,
            1092510,
            1092511,
            1092549,
            1092550,
            1092575,
            1092705,
            1092706,
            1092707,
            1092709,
            1092719,
            1092722,
            1092740,
            1092747,
            1092764,
            1092811,
            1092832,
            1092833,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3008F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3008F",
      "description": "BODY MASS INDEX DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3008F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3008F",
      "description": "BODY MASS INDEX DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30117",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30117",
      "description": "REMOVAL OF INTRANASAL LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1417.17,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30117",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30117",
      "description": "REMOVAL OF INTRANASAL LESION",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 623.188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3011F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3011F",
      "description": "LIPID PANEL DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1155.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092838
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 193.902,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 219.193,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 227.624,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 244.485,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 264.718,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 278.207,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 313.191,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 354.042,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 367.659,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 379.8,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 394.893,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 427.574,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 449.361,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30140",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30140",
      "description": "RESECT INFERIOR TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 827.44,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3014F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3014F",
      "description": "SCREEN MAMMO DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3014F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3014F",
      "description": "SCREEN MAMMO DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3014F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3014F",
      "description": "SCREEN MAMMO DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3015F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3015F",
      "description": "CERV CANCER SCREEN DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3016F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3016F",
      "description": "PT SCRND UNHLTHY OH USE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3017F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3017F",
      "description": "COLORECTAL CA SCREEN DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3017F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3017F",
      "description": "COLORECTAL CA SCREEN DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092430,
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3017F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3017F",
      "description": "COLORECTAL CA SCREEN DOC REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30300",
      "description": "REMOVE NASAL FOREIGN BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 128.52,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30300",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30300",
      "description": "REMOVE NASAL FOREIGN BODY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 169.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30420",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30420",
      "description": "RECONSTRUCTION OF NOSE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1357.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30420",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30420",
      "description": "RECONSTRUCTION OF NOSE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2333.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092600,
            1092601,
            1092602,
            1092661,
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092403,
            1092418,
            1092430,
            1092431,
            1092475,
            1092486,
            1092510,
            1092511,
            1092522,
            1092549,
            1092550,
            1092673,
            1092706,
            1092707,
            1092731,
            1092740,
            1092832,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 80,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3044F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3044F",
      "description": "HG A1C LEVEL LT 7.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30465",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30465",
      "description": "REPAIR NASAL STENOSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1090.84,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30465",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30465",
      "description": "REPAIR NASAL STENOSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1280.56,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30465",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30465",
      "description": "REPAIR NASAL STENOSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 2016.23,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30465",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30465",
      "description": "REPAIR NASAL STENOSIS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 2417.29,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092838
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3046F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3046F",
      "description": "HEMOGLOBIN A1C LEVEL \u003E9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092551,
            1092593,
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3046F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3046F",
      "description": "HEMOGLOBIN A1C LEVEL \u003E9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092418,
            1092431,
            1092509,
            1092510,
            1092522,
            1092549,
            1092550,
            1092673,
            1092705,
            1092707,
            1092731,
            1092740,
            1092811,
            1092832,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3046F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3046F",
      "description": "HEMOGLOBIN A1C LEVEL \u003E9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3046F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3046F",
      "description": "HEMOGLOBIN A1C LEVEL \u003E9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3048F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3048F",
      "description": "LDL-C \u003C100 MG/DL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092593
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3048F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3048F",
      "description": "LDL-C \u003C100 MG/DL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092509,
            1092510,
            1092706,
            1092719
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3048F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3048F",
      "description": "LDL-C \u003C100 MG/DL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3049F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3049F",
      "description": "LDL-C 100-129 MG/DL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3049F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3049F",
      "description": "LDL-C 100-129 MG/DL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092509,
            1092510,
            1092706,
            1092719
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3050F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3050F",
      "description": "LDL-C \u003E= 130 MG/DL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092719
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3051F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3051F",
      "description": "HG A1C\u003EEQUAL 7.0%\u003C8.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092541,
            1092546,
            1092593,
            1092600,
            1092602,
            1092661,
            1092741
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3051F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3051F",
      "description": "HG A1C\u003EEQUAL 7.0%\u003C8.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3051F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3051F",
      "description": "HG A1C\u003EEQUAL 7.0%\u003C8.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092430,
            1092431,
            1092475,
            1092509,
            1092510,
            1092522,
            1092549,
            1092550,
            1092673,
            1092705,
            1092706,
            1092731,
            1092740,
            1092811,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3051F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3051F",
      "description": "HG A1C\u003EEQUAL 7.0%\u003C8.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3051F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3051F",
      "description": "HG A1C\u003EEQUAL 7.0%\u003C8.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1022.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1169.63,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 552.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 805.675,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 836.663,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 898.637,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30520",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30520",
      "description": "REPAIR OF NASAL SEPTUM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 973.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3052F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3052F",
      "description": "HG A1C\u003EEQUAL 8.0%\u003CEQUAL 9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092546,
            1092551
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3052F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3052F",
      "description": "HG A1C\u003EEQUAL 8.0%\u003CEQUAL 9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3052F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3052F",
      "description": "HG A1C\u003EEQUAL 8.0%\u003CEQUAL 9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092411,
            1092418,
            1092475,
            1092510,
            1092549,
            1092550,
            1092673,
            1092705,
            1092706,
            1092707,
            1092740,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3052F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3052F",
      "description": "HG A1C\u003EEQUAL 8.0%\u003CEQUAL 9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3052F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3052F",
      "description": "HG A1C\u003EEQUAL 8.0%\u003CEQUAL 9.0%",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3060F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3060F",
      "description": "POS MICROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3060F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3060F",
      "description": "POS MICROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092509,
            1092510,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3060F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3060F",
      "description": "POS MICROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3061F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3061F",
      "description": "NEG MICROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092706,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3061F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3061F",
      "description": "NEG MICROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3062F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3062F",
      "description": "POS MACROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092593
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3062F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3062F",
      "description": "POS MACROALBUMINURIA REV",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092509,
            1092510,
            1092863
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3066F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3066F",
      "description": "NEPHROPATHY DOC TX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092475
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3072F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3072F",
      "description": "LOW RISK FOR RETINOPATHY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092740
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3073F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3073F",
      "description": "PRE-SURG EYE MEASURES DOCD",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3074F",
      "description": "SYST BP LT 130 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092600,
            1092601,
            1092602,
            1092603,
            1092605,
            1092608,
            1092634,
            1092661,
            1092723,
            1092741,
            1092785,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3074F",
      "description": "SYST BP LT 130 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3074F",
      "description": "SYST BP LT 130 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092403,
            1092418,
            1092430,
            1092431,
            1092442,
            1092444,
            1092475,
            1092486,
            1092487,
            1092502,
            1092509,
            1092510,
            1092511,
            1092522,
            1092535,
            1092549,
            1092550,
            1092575,
            1092585,
            1092632,
            1092637,
            1092705,
            1092706,
            1092707,
            1092709,
            1092719,
            1092722,
            1092731,
            1092740,
            1092747,
            1092764,
            1092783,
            1092784,
            1092811,
            1092832,
            1092833,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3074F",
      "description": "SYST BP LT 130 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092591,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3074F",
      "description": "SYST BP LT 130 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3074F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3074F",
      "description": "SYST BP LT 130 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3075F",
      "description": "SYST BP GE 130 - 139MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092600,
            1092601,
            1092602,
            1092608,
            1092634,
            1092661,
            1092741,
            1092785,
            1092864
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3075F",
      "description": "SYST BP GE 130 - 139MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3075F",
      "description": "SYST BP GE 130 - 139MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092403,
            1092418,
            1092430,
            1092431,
            1092442,
            1092444,
            1092475,
            1092486,
            1092502,
            1092509,
            1092510,
            1092511,
            1092522,
            1092549,
            1092550,
            1092575,
            1092637,
            1092705,
            1092706,
            1092707,
            1092719,
            1092731,
            1092740,
            1092764,
            1092811,
            1092832,
            1092833,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3075F",
      "description": "SYST BP GE 130 - 139MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092591
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3075F",
      "description": "SYST BP GE 130 - 139MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3075F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3075F",
      "description": "SYST BP GE 130 - 139MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3077F",
      "description": "SYST BP \u003E= 140 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092601,
            1092602,
            1092608,
            1092661,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3077F",
      "description": "SYST BP \u003E= 140 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3077F",
      "description": "SYST BP \u003E= 140 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092403,
            1092418,
            1092430,
            1092431,
            1092444,
            1092475,
            1092486,
            1092502,
            1092509,
            1092510,
            1092511,
            1092522,
            1092549,
            1092550,
            1092575,
            1092632,
            1092637,
            1092705,
            1092706,
            1092707,
            1092719,
            1092722,
            1092731,
            1092740,
            1092764,
            1092783,
            1092811,
            1092832,
            1092833,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3077F",
      "description": "SYST BP \u003E= 140 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3077F",
      "description": "SYST BP \u003E= 140 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3077F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3077F",
      "description": "SYST BP \u003E= 140 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3078F",
      "description": "DIAST BP \u003C80 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092600,
            1092601,
            1092602,
            1092603,
            1092605,
            1092608,
            1092634,
            1092661,
            1092741,
            1092785,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3078F",
      "description": "DIAST BP \u003C80 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3078F",
      "description": "DIAST BP \u003C80 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092403,
            1092418,
            1092430,
            1092431,
            1092444,
            1092475,
            1092486,
            1092487,
            1092502,
            1092509,
            1092510,
            1092511,
            1092522,
            1092535,
            1092549,
            1092550,
            1092575,
            1092632,
            1092637,
            1092705,
            1092706,
            1092707,
            1092709,
            1092719,
            1092722,
            1092731,
            1092740,
            1092764,
            1092784,
            1092811,
            1092832,
            1092833,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3078F",
      "description": "DIAST BP \u003C80 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092591,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3078F",
      "description": "DIAST BP \u003C80 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3078F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3078F",
      "description": "DIAST BP \u003C80 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3079F",
      "description": "DIAST BP 80-89 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092594,
            1092600,
            1092601,
            1092602,
            1092608,
            1092634,
            1092661,
            1092723,
            1092741,
            1092785,
            1092864,
            1092868
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3079F",
      "description": "DIAST BP 80-89 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533,
            1092548
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3079F",
      "description": "DIAST BP 80-89 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092403,
            1092418,
            1092430,
            1092431,
            1092442,
            1092444,
            1092475,
            1092486,
            1092487,
            1092502,
            1092509,
            1092510,
            1092511,
            1092522,
            1092535,
            1092549,
            1092550,
            1092575,
            1092632,
            1092637,
            1092705,
            1092706,
            1092707,
            1092709,
            1092719,
            1092731,
            1092740,
            1092747,
            1092764,
            1092783,
            1092784,
            1092811,
            1092832,
            1092833,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3079F",
      "description": "DIAST BP 80-89 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092591,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3079F",
      "description": "DIAST BP 80-89 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092495,
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3079F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3079F",
      "description": "DIAST BP 80-89 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30802",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30802",
      "description": "ABLATE INF TURBINATE SUBMUC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 198.32,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30802",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30802",
      "description": "ABLATE INF TURBINATE SUBMUC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 242.72,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30802",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30802",
      "description": "ABLATE INF TURBINATE SUBMUC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 323.96,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30802",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30802",
      "description": "ABLATE INF TURBINATE SUBMUC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 442.05,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3080F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3080F",
      "description": "DIAST BP \u003E= 90 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 59.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092539,
            1092540,
            1092541,
            1092546,
            1092551,
            1092593,
            1092602,
            1092864
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3080F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3080F",
      "description": "DIAST BP \u003E= 90 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 63.75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092533
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3080F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3080F",
      "description": "DIAST BP \u003E= 90 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092227,
            1092353,
            1092403,
            1092418,
            1092430,
            1092431,
            1092444,
            1092475,
            1092509,
            1092510,
            1092511,
            1092549,
            1092550,
            1092575,
            1092637,
            1092705,
            1092706,
            1092707,
            1092719,
            1092722,
            1092731,
            1092740,
            1092764,
            1092783,
            1092811,
            1092835,
            1092863,
            1092867
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3080F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3080F",
      "description": "DIAST BP \u003E= 90 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 72.25,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092534,
            1092778
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3080F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3080F",
      "description": "DIAST BP \u003E= 90 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 75,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092496
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3080F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3080F",
      "description": "DIAST BP \u003E= 90 MM HG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 85,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092371,
            1092440,
            1092776
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3085F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3085F",
      "description": "SUICIDE RISK ASSESSED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092549
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 124.49,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 142.252,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 191.012,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 233.459,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 254.682,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 374.949,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.59,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 61.732,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430,
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 72.468,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 88.572,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30901",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30901",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 96.624,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30903",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30903",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 121.869,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30903",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30903",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 220,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30903",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30903",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 360.129,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30903",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30903",
      "description": "CONTROL OF NOSEBLEED",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.46,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30930",
      "description": "THER FX NASAL INF TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 1169.63,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "30930",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "30930",
      "description": "THER FX NASAL INF TURBINATE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 161.16,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092353
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 100.105,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 106.173,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 109.206,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 123.649,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092608
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 145.47,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 189.474,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541,
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.762,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092682
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 197.19,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 214.338,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486,
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 222.911,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 231.485,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 233.375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 248.631,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 255.062,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 269.208,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 274.352,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 282.926,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 300.072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 308.646,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092522
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 320.93,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 67.0404,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092541,
            1092581
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.377,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092608
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.6188,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092682
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.7705,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 75.8375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486,
            1092536
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 78.871,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431,
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.62,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.9045,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443,
            1092510
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.9715,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.2466,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092594
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.2519,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 95.3375,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31231",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31231",
      "description": "NASAL ENDOSCOPY DX",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 97.072,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31237",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31237",
      "description": "NSL/SINS NDSC SURG BX POLYPC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 196.755,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31237",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31237",
      "description": "NSL/SINS NDSC SURG BX POLYPC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 316.667,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31237",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31237",
      "description": "NSL/SINS NDSC SURG BX POLYPC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 343.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31237",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31237",
      "description": "NSL/SINS NDSC SURG BX POLYPC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 570.7,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31238",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31238",
      "description": "NSL/SINS NDSC SRG NSL HEMRRG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 247.5,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31238",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31238",
      "description": "NSL/SINS NDSC SRG NSL HEMRRG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 411.575,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092550
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31240",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31240",
      "description": "NSL/SNS NDSC CNCH BULL RESCJ",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 304.79,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31253",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31253",
      "description": "NSL/SINS NDSC TOTAL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 933.94,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31254",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31254",
      "description": "NSL/SINS NDSC W/PRTL ETHMDCT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 524.4,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31254",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31254",
      "description": "NSL/SINS NDSC W/PRTL ETHMDCT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31255",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31255",
      "description": "NSL/SINS NDSC W/TOT ETHMDCT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 502.342,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31256",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31256",
      "description": "EXPLORATION MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 230.661,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31256",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31256",
      "description": "EXPLORATION MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 281.919,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31256",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31256",
      "description": "EXPLORATION MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 379.78,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31256",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31256",
      "description": "EXPLORATION MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31257",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31257",
      "description": "NSL/SINS NDSC TOT W/SPHENDT",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 545.714,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31259",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31259",
      "description": "NSL/SINS NDSC SPHN TISS RMVL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 711.216,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31259",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31259",
      "description": "NSL/SINS NDSC SPHN TISS RMVL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 733.441,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31267",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31267",
      "description": "ENDOSCOPY MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 324.74,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31267",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31267",
      "description": "ENDOSCOPY MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 399.68,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31267",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31267",
      "description": "ENDOSCOPY MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 613,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31267",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31267",
      "description": "ENDOSCOPY MAXILLARY SINUS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 946.84,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092404
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "3126F",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "3126F",
      "description": "ESOPH BX RPRT W/DYSPL INFO",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 70,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both"
            }
          ],
          "provider_references": [
            1092284
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31276",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31276",
      "description": "NSL/SINS NDSC FRNT TISS RMVL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 480.978,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31276",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31276",
      "description": "NSL/SINS NDSC FRNT TISS RMVL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 570.048,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31276",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31276",
      "description": "NSL/SINS NDSC FRNT TISS RMVL",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 980.81,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31287",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31287",
      "description": "NASAL/SINUS ENDOSCOPY SURG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 256.149,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31296",
      "description": "NSL/SINS NDSC SURG FRNT SINS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 1846.66,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31296",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31296",
      "description": "NSL/SINS NDSC SURG FRNT SINS",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 221.26,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092431
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 147.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092706
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 155.411,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 171.628,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092543
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 175.682,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092802
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 189.534,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092779
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 195.953,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092866
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 216.224,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092811
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 222.981,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31500",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31500",
      "description": "INSERT EMERGENCY AIRWAY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 358.121,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092768
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31536",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31536",
      "description": "LARYNGOSCOPY W/BX \u0026 OP SCOPE",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 326.007,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 101.877,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 107.069,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 113.558,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 120.105,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 126.718,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 133.584,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 138.23,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 141.3,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 145.2,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 149.08,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 151.008,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.18,
              "expiration_date": "9999-12-31",
              "service_code": [
                "CSTM-00"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092803
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 156.816,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 162.624,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 168.432,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 172.916,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092534
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 182.371,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092444
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 191.664,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092777
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.28,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092509
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 203.43,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092440
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 69.0795,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092546
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 74.6235,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092430
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 77.2191,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092542
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.1125,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092486
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 81.27,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092227,
            1092766
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 84.357,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092579
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 87.6015,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 90.846,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092491
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31575",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31575",
      "description": "DIAGNOSTIC LARYNGOSCOPY",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 94.0905,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092436,
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31579",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31579",
      "description": "LARYNGOSCOPY TELESCOPIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 129.697,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31579",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31579",
      "description": "LARYNGOSCOPY TELESCOPIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 152.253,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31579",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31579",
      "description": "LARYNGOSCOPY TELESCOPIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 163.531,
              "expiration_date": "9999-12-31",
              "service_code": [
                "02",
                "05",
                "06",
                "07",
                "08",
                "10",
                "19",
                "21",
                "22",
                "23",
                "24",
                "26",
                "31",
                "34",
                "41",
                "42",
                "51",
                "52",
                "53",
                "56",
                "61"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31579",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31579",
      "description": "LARYNGOSCOPY TELESCOPIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 206.954,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092562
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31579",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31579",
      "description": "LARYNGOSCOPY TELESCOPIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 242.946,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092443
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31579",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31579",
      "description": "LARYNGOSCOPY TELESCOPIC",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "fee schedule",
              "negotiated_rate": 260.942,
              "expiration_date": "9999-12-31",
              "service_code": [
                "01",
                "03",
                "04",
                "09",
                "11",
                "12",
                "13",
                "14",
                "15",
                "16",
                "17",
                "18",
                "20",
                "25",
                "32",
                "33",
                "49",
                "50",
                "54",
                "55",
                "57",
                "60",
                "62",
                "65",
                "71",
                "72",
                "81",
                "99"
              ],
              "billing_class": "professional",
              "setting": "both",
              "additional_information": "Reduce to 100% billed charges."
            }
          ],
          "provider_references": [
            1092504
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "31600",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "31600",